Individual
MS. PAMELA ANN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
10251 N 35TH AVE, PHOENIX, AZ 85051-1305
(602) 995-7366
Mailing address
3768 W MALAPAI DR, PHOENIX, AZ 85051-1159
(602) 938-1562
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1067
AZ
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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