Organization
SULLIVAN SPEECH LANGUAGE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH M. SULLIVAN M.A.CCCSLP (OWNER)
(406) 556-9853
Entity
Organization
Contact information
Practice address
720 STONERIDGE DR, SUITE 2, BOZEMAN, MT 59718-7032
(406) 556-9853
Mailing address
129 ERIK DR, BOZEMAN, MT 59715-1745
(406) 556-9853
(406) 586-2732
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP984
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0532474
—
MT
05
—
0534242
—
MT
05
—
0535347
—
MT
01
—
660570
BCBS ELIZABETH SULLIVAN
MT
01
—
662040
BCBS NICHOLE SCALA ASSOCI
MT
01
—
662830
BCBS CHERI SORG HACKLER
MT
Enumeration date
03/25/2007
Last updated
08/22/2020
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