Logan Sullivan

Speech-Language Pathologist · Carbondale, PA

Individual Active NPI

NPI number 1558044727

Practice location

38 N Scott St
Carbondale, PA 18407-1888
Phone
(570) 280-2800

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NPI record

NPI
1558044727
Entity type
Individual (Type 1)
Enumeration date
August 14, 2023
Last updated
August 14, 2023
Certified
August 13, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X SL017079 PA

About Logan Sullivan

Logan Sullivan is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 38 N Scott St, Carbondale, PA 18407-1888. The NPI number 1558044727 was assigned on August 14, 2023 and the record was last updated on August 14, 2023.

Logan Sullivan lists a license in the registry: #SL017079 (PA) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Logan Sullivan?

The NPI number is 1558044727.

What is the phone number of Logan Sullivan?

The phone number listed for the practice location is (570) 280-2800.

Where is Logan Sullivan located?

38 N Scott St, Carbondale, PA 18407-1888.

What is the taxonomy code for Logan 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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