Individual
ELEANOR SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12400 PORTLAND AVE STE 140, BURNSVILLE, MN 55337-6805
(952) 746-0222
Mailing address
12400 PORTLAND AVE STE 140, BURNSVILLE, MN 55337-6805
(952) 428-0400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
528640
MN
Other
Enumeration date
06/12/2019
Last updated
06/27/2023
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