Individual
AMBER SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8905 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-4421
(228) 215-0521
(228) 215-0619
Mailing address
5703 GULF TECH DR, OCEAN SPRINGS, MS 39564-8238
(228) 875-5447
(228) 875-5448
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S-4830
MS
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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