Individual
MADELINE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5695 KING CENTRE DR STE 100, ALEXANDRIA, VA 22315-5745
(571) 303-1298
Mailing address
901 N MONROE ST APT 1101, ARLINGTON, VA 22201-2358
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202012357
VA
235Z00000X
Speech-Language Pathologist
Primary
2204001576
VA
Other
Enumeration date
05/22/2025
Last updated
03/18/2026
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