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KATHLEEN EDITH SULLIVAN CCC-SP
NPI 1194871491
Speech-Language Pathologist in Nesconset, NY

Active since January 27, 2007
6 GEMINI LN, NESCONSET, NY 11767(631) 265-0953(631) 265-0969 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen Edith Sullivan Ccc-sp NPPES

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

KATHLEEN EDITH SULLIVAN CCC-SP (NPI 1194871491) is an individual speech-language pathologist provider in Nesconset, New York, licensed in New York (005260-1) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1194871491
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKATHLEEN EDITH SULLIVANCredential: CCC-SP
Location Address6 GEMINI LNNesconset, NY 11767-1708
Mailing Address6 Gemini LnNesconset, NY 11767-1708 · (631) 265-0953 · Fax (631) 265-0969
Phone(631) 265-0953
Fax(631) 265-0969
Sole ProprietorYes
Enumeration DateJanuary 27, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1194871491 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 NY · 005260-1
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.
6 GEMINI LN, Nesconset, NY 11767
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Sullivan's NPI number?

The NPI number for Kathleen Sullivan is 1194871491. It was assigned to this individual provider in the NPPES registry on January 27, 2007.

Where is Kathleen Sullivan located?

Kathleen Sullivan practices at 6 Gemini Ln, Nesconset, NY 11767. The listed phone number is (631) 265-0953.

What is Kathleen Sullivan's specialty?

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

When was this NPI record last updated?

The NPPES record for Kathleen Sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.