Sullivan, Amanda

Sullivan, Amanda is an individual health care provider with primary practice located at 1000 Eddy St , Providence RI 02905-4739. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Sullivan, Amanda can be contacted via phone (401) 533-9100.

Contact Information

Primary practice address
1000 Eddy St Providence RI 02905-4739
Phone: (401) 533-9100
Fax: (401) 533-9105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP00631-P Rhode Island

Profile Details

NPI number 1093349672
LBN Legal business name Sullivan, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2020
Last updated Feb 20th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093349672 NPPES
Rhode Island Other SB870 BC RI
Rhode Island Other 0614 BC RI
Rhode Island MEDICAID ES01788 BC RI

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