MICHELLE SULLIVAN MA, CCC-SLP
NPI 1225207376
Speech-Language Pathologist in Waxhaw, NC

Active since February 22, 2008
902 LILLIESHALL RD, WAXHAW, NC 28173(704) 843-7697 Get Directions Write a Review

NPPES record last updated: February 22, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michelle Sullivan Ma, Ccc-slp NPPES

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

MICHELLE SULLIVAN MA, CCC-SLP (NPI 1225207376) is an individual speech-language pathologist provider in Waxhaw, North Carolina, licensed in North Carolina (3615) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1225207376
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMICHELLE SULLIVANCredential: MA, CCC-SLP
Location Address902 LILLIESHALL RDWaxhaw, NC 28173-6673
Mailing Address902 Lillieshall RdWaxhaw, NC 28173-6673 · (704) 843-7697
Sole ProprietorYes
Enumeration DateFebruary 22, 2008
NPI 1225207376 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 NC · 3615
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.

902 LILLIESHALL RD, Waxhaw, NC 28173

Other Identifiers 1

Medicaid7401026NC

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225207376, enumerated as an "individual" on February 22, 2008.

The provider is located at 902 LILLIESHALL RD WAXHAW, NC 28173 and the phone number is (704) 843-7697.

Speech-Language Pathologist with taxonomy code 235Z00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.