MISS LILY NORA SULLIVAN M.S. CCC-SLP
NPI 1669713376
Speech-Language Pathologist in San Ramon, CA

Active since March 05, 2013
210 PORTER DR, SUITE 200, SAN RAMON, CA 94583(925) 743-3322 Get Directions Write a Review

NPPES record last updated: August 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Lily Nora Sullivan M.s. Ccc-slp NPPES

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

MISS LILY NORA SULLIVAN M.S. CCC-SLP (NPI 1669713376) is an individual speech-language pathologist provider in San Ramon, California, licensed in California (SP 20522) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1669713376
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMISS LILY NORA SULLIVANCredential: M.S. CCC-SLP
Location Address210 PORTER DR, SUITE 200San Ramon, CA 94583-1588
Mailing Address210 Porter Dr, Suite 200San Ramon, CA 94583-1588 · (925) 743-3322
Sole ProprietorNo
Enumeration DateMarch 5, 2013
Last NPPES UpdateAugust 15, 2013
NPI 1669713376 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 · SP 20522
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.
210 PORTER DR, San Ramon, CA 94583

Other Providers at the Same Location NPPES 6

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

Occupational Therapist (Pediatrics)
210 PORTER DR
SAN RAMON, CA 94583
Speech-Language Pathologist
210 PORTER DR, SUITE 200
SAN RAMON, CA 94583
Speech-Language Pathologist
210 PORTER DR, SUITE 200
SAN RAMON, CA 94583
Speech-Language Pathologist
210 PORTER DR
SAN RAMON, CA 94583
Speech-Language Pathologist
210 PORTER DR, SUITE 200
SAN RAMON, CA 94583
Optometrist
210 PORTER DR, SUITE 215
SAN RAMON, CA 94583

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 Lily Sullivan's NPI number?

The NPI number for Lily Sullivan is 1669713376. It was assigned to this individual provider in the NPPES registry on March 5, 2013.

Where is Lily Sullivan located?

Lily Sullivan practices at 210 Porter Dr Suite 200, San Ramon, CA 94583. The listed phone number is (925) 743-3322.

What is Lily 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 Lily Sullivan was last updated on August 15, 2013. 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.