Miranda Sullivan, MS, CCC-SLP Valid NPI

Individual provider · Speech-Language Pathologist · Eagle, ID

NPI

1124600697

Type

Individual (Type 1)

Primary specialty

Speech-Language Pathologist

Specialty group

Speech, Language and Hearing Service Providers

Taxonomy code

235Z00000X

Sex

Female

Sole proprietor

No

Enumerated

2021-04-24

Last updated

2021-04-24