IndividualActive
Amylla Sullano, CCC-SLP
NPI 1992453054 · Speech-Language Pathologist · Bountiful, UT
Provider details
- NPI number
- 1992453054
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 12331195-4108 (UT)
Mailing address
280 N Main St
Bountiful, UT 84010-6136
Registry dates
- Enumerated
- 2022-03-16
- Last updated
- 2022-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.