IndividualActive
Amy Sullivan, M.S.-SLP
NPI 1063990380 · Speech-Language Pathologist · Zachary, LA
Provider details
- NPI number
- 1063990380
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S.-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 8133 (LA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
1326 Church St
Zachary, LA 70791-2743
Phone: (224) 654-8208
Fax: (225) 654-4642
Approximate (ZIP-level) locationGet directions
Mailing address
1326 Church St
Zachary, LA 70791-2743
Registry dates
- Enumerated
- 2018-07-30
- Last updated
- 2018-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.