Organization
SHANNON SULLIVAN, MS, CCC-SLP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON SULLIVAN MS, CCC-SLP (OWNER)
(775) 825-8284
Entity
Organization
Contact information
Practice address
9520 PROTOTYPE CT, RENO, NV 89521-5916
(775) 852-6323
Mailing address
9520 PROTOTYPE CT, RENO, NV 89521-5916
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
08/04/2020
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