Kendra Sullivan

Speech-Language Assistant · Weatherford, TX

Individual Active NPI

NPI number 1609311869

Practice location

1670 Holland Lake Dr
Apt 6106
Weatherford, TX 76086-6451
Phone
(817) 229-5815
Fax
(877) 309-9749

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NPI record

NPI
1609311869
Entity type
Individual (Type 1)
Enumeration date
December 27, 2016
Last updated
March 28, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Assistant Primary 2355S0801X 35933 TX

About Kendra Sullivan

Kendra Sullivan is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Assistant (code 2355S0801X). The practice location is 1670 Holland Lake Dr, Apt 6106, Weatherford, TX 76086-6451. The NPI number 1609311869 was assigned on December 27, 2016 and the record was last updated on March 28, 2017.

Kendra Sullivan lists a license in the registry: #35933 (TX) for Speech-Language Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kendra Sullivan?

The NPI number is 1609311869.

What is the phone number of Kendra Sullivan?

The phone number listed for the practice location is (817) 229-5815.

Where is Kendra Sullivan located?

1670 Holland Lake Dr, Apt 6106, Weatherford, TX 76086-6451.

What is the taxonomy code for Kendra Sullivan?

The primary taxonomy code is 2355S0801X – Speech-Language Assistant.

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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