Sullivan, Michelle

Sullivan, Michelle is an sole proprietor health care provider with primary practice located at 4715 Yosemite Boulevard , Modesto CA 95357. 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, Michelle can be contacted via phone (209) 574-9707.

Contact Information

Primary practice address
4715 Yosemite Boulevard Modesto CA 95357
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 18889 California

Profile Details

NPI number 1124664461
LBN Legal business name Sullivan, Michelle
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2019
Last updated Nov 21st, 2019 - about 7 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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