Individual
SULLIVAN MCCALLON FRIEDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
94-1181 KA UKA BLVD STE C, WAIPAHU, HI 96797-4485
(808) 260-9056
Mailing address
103 N SPRINGVIEW DR, ENTERPRISE, AL 36330-5064
(270) 873-9557
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP011270
GA
235Z00000X
Speech-Language Pathologist
Primary
SP-2306
HI
Other
Enumeration date
10/14/2020
Last updated
03/28/2024
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