Individual
ELYSE SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
710 ROHNERT PARK EXPY E, ROHNERT PARK, CA 94928-1514
(925) 338-1531
Mailing address
2000 CLAY BANK RD APT C3, FAIRFIELD, CA 94533-2502
(302) 490-8145
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30591
CA
Other
Enumeration date
05/25/2021
Last updated
05/27/2021
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