Individual
JILL AMANDA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
4 LAKEWAY CENTRE CT UNIT B, LAKEWAY, TX 78734-2757
(512) 682-4798
(512) 339-1663
Mailing address
12309 N MOPAC EXPY STE 100, AUSTIN, TX 78758-2604
(512) 339-4040
(512) 339-1663
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
81519
TX
Other
Enumeration date
05/25/2023
Last updated
08/09/2023
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