Individual
KATHRYN ANN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 540, LOS ANGELES, CA 90095-8344
(310) 825-5721
(310) 206-2331
Mailing address
200 UCLA MEDICAL PLZ STE 540, LOS ANGELES, CA 90095-8344
(310) 825-5721
(310) 206-2331
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU 1542
CA
231HA2400X
Assistive Technology Practitioner Audiologist
AU 1542
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AU154200
—
CA
05
—
HA3423
—
CA
Enumeration date
01/04/2006
Last updated
09/24/2015
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