NPI
Michelle K Sullivan
NPI 1023120730
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- M.S. CCC-SLP
- Type
- Individual
- Enumeration date
- 2006-08-31
- Last updated
- 2016-03-24
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Specialties
Licenses
- License FL
- SA 8194
- License NY
- 012816
Location
- Practice location
- 3769 Ny-417
- City
- Jasper NY
- Postal code
- 14855
- Phone
- (607) 792-3675
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Jasper, NY. 6 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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