Individual
LENAE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
10310 W MARKHAM ST STE 210, LITTLE ROCK, AR 72205-1579
(501) 406-7910
Mailing address
31 CROWNPOINT RD, LITTLE ROCK, AR 72227-2929
(870) 783-0208
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
200945
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200945
ARKANSAS BOARD OF EXAMINERS OF SPEECH PATHOLOGY AND AUDIOLOGY
AR
Enumeration date
01/20/2020
Last updated
06/29/2026
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