Miranda Sullivan, MS, CCC-SLP
Speech-Language Pathologist · Eagle, ID
Practice location
449 S Fitness PlEagle, ID 83616-6828
- Phone
- (208) 957-6301
NPI record
- NPI
- 1124600697
- Entity type
- Individual (Type 1)
- Enumeration date
- April 24, 2021
- Last updated
- April 24, 2021
- Certified
- April 24, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X |
— | — |
Mailing address
2920 W Jefferson StBoise, ID 83702-4614
- Phone
- (208) 249-4890
About Miranda Sullivan
Miranda Sullivan, MS, CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 449 S Fitness Pl, Eagle, ID 83616-6828. The NPI number 1124600697 was assigned on April 24, 2021 and the record was last updated on April 24, 2021.
Frequently asked questions
What is the NPI number of Miranda Sullivan, MS, CCC-SLP?
The NPI number is 1124600697.
What is the phone number of Miranda Sullivan?
The phone number listed for the practice location is (208) 957-6301.
Where is Miranda Sullivan located?
449 S Fitness Pl, Eagle, ID 83616-6828.
What is the taxonomy code for Miranda Sullivan?
The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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