Individual
MRS. KATHERINE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6061 OLD TROY PIKE, HUBER HEIGHTS, OH 45424-3642
(937) 237-6350
Mailing address
1142 GENEVA RD, BEAVERCREEK, OH 45434-6316
(937) 269-5749
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.2017485-SP
OH
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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