Individual
MS. HOLLY LYNN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SP
Contact information
Practice address
301 SAINT PAUL ST, DEPT OF REHAB MEDICINE, BALTIMORE, MD 21202-2102
(410) 332-9688
(410) 659-5697
Mailing address
5 DUTTON AVE, CATONSVILLE, MD 21228-4916
(410) 744-5932
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01664
MD
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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