CASSIDY E SULLIVAN - NPI 1013356724 - Speech-Language Pathologist in San Juan Capistrano, CA

Q: What is Cassidy Sullivan's NPI number?

The NPI number for Cassidy Sullivan is 1013356724. It was assigned to this individual provider in the NPPES registry on June 17, 2013.

Q: What is Cassidy Sullivan's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Cassidy Sullivan was last updated on January 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Cassidy E Sullivan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASSIDY E SULLIVAN (NPI 1013356724) is an individual speech-language pathologist provider in San Juan Capistrano, California, licensed in California (20437) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1013356724

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameCASSIDY E SULLIVAN

Location Address31741 RANCHO VIEJO RDSan Juan Capistrano, CA 92675-6722

Mailing Address31741 Rancho Viejo RdSan Juan Capistrano, CA 92675-6722 · (949) 613-9910

Phone(949) 613-9910

Sole ProprietorYes

Enumeration DateJune 17, 2013

Last NPPES UpdateJanuary 29, 2014

✔ NPI 1013356724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in CA · 20437

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

31741 RANCHO VIEJO RD, San Juan Capistrano, CA 92675

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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GALE ELIZABETH TRACER MA CCC/SLP

Speech-Language Pathologist