Individual
DANIELLE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC SLP
Contact information
Practice address
3921 N MAIN ST, BAYTOWN, TX 77521
(281) 422-9541
Mailing address
3300 SAGE RD, APT 3301, HOUSTON, TX 77056
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
109835
TX
235Z00000X
Speech-Language Pathologist
242.002554
IL
Other
Enumeration date
06/24/2013
Last updated
08/20/2018
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