Individual
CAITLIN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 KIANA CT, PADUCAH, KY 42001-6767
(270) 443-0681
Mailing address
1000 VASSEUR AVE, PADUCAH, KY 42003-2160
(573) 631-9052
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
165830
KY
Other
Enumeration date
05/28/2016
Last updated
11/04/2024
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