Miranda Sullivan, MS, CCC-SLP
Speech-Language Pathologist, in Eagle, ID. Individual provider (NPI-1).
NPI number1124600697
StatusActive
Last updated in NPPESApr 24, 2021
Details
- NPI
- 1124600697
- Entity type
- Individual (NPI-1)
- Name
- Miranda Sullivan
- Credential
- MS, CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2021
- Certification date
- Apr 24, 2021
- Last updated
- Apr 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
449 S Fitness PlEagle, ID 83616-6828
Phone 208-957-6301
Mailing address
2920 W Jefferson StBoise, ID 83702-4614
Phone 208-249-4890
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Other Speech-Language Pathologist providers in Eagle, ID
- Anna AlbersNPI 1508434507
- Janet Houston Casabonne, M.S.,CCC-SLPNPI 1073807368
- Nicole CloverNPI 1164192951
- Samantha Jane Dembski, M.S.,CCC-SLPNPI 1578826905
- Lyndsey EvansNPI 1720464902
- Katie Gray, M.S.NPI 1245058890
- Taelin Marie HollowayNPI 1336648575
- Mary Celeste Howard, M.S.NPI 1396993077
- Sarah Mae Landry, MS, CCC-SLPNPI 1518401561
- Caitlin LarkinNPI 1417470253
All 34 Speech-Language Pathologist providers in Eagle · All 911 providers in Eagle
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