Sullivan, Kathryn Ann

Sullivan, Kathryn Ann is an individual health care provider with primary practice located at 200 Ucla Medical Plz Ste 540 , Los Angeles CA 90095-8344. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Practitioner. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Sullivan, Kathryn Ann can be contacted via phone (310) 825-5721.

Contact Information

Primary practice address
200 Ucla Medical Plz Ste 540 Los Angeles CA 90095-8344
Phone: (310) 825-5721
Fax: (310) 206-2331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU 1542 California
Speech, Language and Hearing Service Providers / Assistive Technology Practitioner 231HA2400X AU 1542 California

Profile Details

NPI number 1225016744
LBN Legal business name Sullivan, Kathryn Ann
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Sep 24th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225016744 NPPES
California MEDICAID HA3423
California MEDICAID 00AU154200

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