IndividualActive
Amanda Sullivan
NPI 1093349672 · Speech-Language Pathologist · Providence, RI
Provider details
- NPI number
- 1093349672
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- SP00631-P (RI)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
1000 Eddy St
Providence, RI 02905-4739
Phone: (401) 533-9100
Fax: (401) 533-9105
Approximate (ZIP-level) locationGet directions
Mailing address
1000 Eddy St
Providence, RI 02905-4739
Registry dates
- Enumerated
- 2020-02-24
- Last updated
- 2024-02-20
- Certified
- 2024-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.