Sullivan, Amy
Sullivan, Amy is an individual health care provider with primary practice located at 1326 Church St , Zachary LA 70791-2743. 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, Amy can be contacted via phone (224) 654-8208.Contact Information
Primary practice address
1326 Church St
Zachary LA 70791-2743
Phone: (224) 654-8208
Fax: (225) 654-4642
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 8133 | Louisiana |
Profile Details
| NPI number | 1063990380 |
|---|---|
| LBN Legal business name | Sullivan, Amy |
| Credentials | M.S.-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2018 |
| Last updated | Jul 30th, 2018 - about 8 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063990380 | NPPES |
| Louisiana | Other | 8133 | STATE LICENSE |
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