Paytin Lynann Sullivan

Speech-Language Pathologist · Waterloo, IL

Individual Active NPI

NPI number 1790613206

Practice location

706 Rogers St
Waterloo, IL 62298-1780
Phone
(618) 939-7761

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NPI record

NPI
1790613206
Entity type
Individual (Type 1)
Enumeration date
May 13, 2026
Last updated
May 13, 2026
Certified
May 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —

Mailing address

312 W Zupan St
Maryville, IL 62062-5797
Phone
(618) 939-7761

About Paytin Sullivan

Paytin Lynann Sullivan is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 706 Rogers St, Waterloo, IL 62298-1780. The NPI number 1790613206 was assigned on May 13, 2026 and the record was last updated on May 13, 2026.

Frequently asked questions

What is the NPI number of Paytin Lynann Sullivan?

The NPI number is 1790613206.

What is the phone number of Paytin Sullivan?

The phone number listed for the practice location is (618) 939-7761.

Where is Paytin Sullivan located?

706 Rogers St, Waterloo, IL 62298-1780.

What is the taxonomy code for Paytin 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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