National Provider Identifier Database

MAGGIE SULLIVAN
Speech-Language Pathologist

A speech pathologist is a person qualified by a master?s degree in speech-language pathology, and where applicable, licensed by the state and practicing within the scope of the license. Also, known as speech therapist, a speech pathologist evaluates patients with language and speech impairments or disorders, whether arising from physiological and neurological disturbances, defective articulation or foreign dialects, and conducts remedial programs designed to restore or improve their communication efficacy. Speech pathologists assess and treat persons with speech, language, voice, and fluency disorders.


Contact Information

MAGGIE SULLIVAN
1095 N. MERIDIAN ROAD
HARRISTOWN, IL62537
Phone: 217-963-2621
Fax:
Website:
Specialty Taxonomy Code
* Speech-Language Pathologist 235Z00000X

* Indicates primary specialty

NPI Profile & details for MAGGIE SULLIVAN

NPI Number 1629507413
Credentials
Entity Individual
Enumeration date 06/06/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 146.013726
  • IL Medicaid: 1629507413
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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