Elizabeth Allen-Sullivan
Individual provider Active NPI Speech-Language Pathologist · Burkesville, KY
NPI 1083070262 · NPPES record last updated Jan 4, 2016
Key facts
- NPI
- 1083070262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2209 (KY)
- Practice address
- 565 Goose Creek Rd
Burkesville, KY 42717-9350 - Phone
- (270) 433-7355
- NPI assigned
- Jan 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2209 | KY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2209 | KY | Yes |
Addresses
Primary practice location
565 Goose Creek Rd
Burkesville, KY 42717-9350
Mailing address
565 Goose Creek Rd
Burkesville, KY 42717-9350
Other providers in Burkesville, KY
- Adult Day Health, Inc.
- Adult Day Health, Inc.
- Dawn Rita Allen
- Whitney N Barger
- Chastity S Brown
- Cecelia Dawn Bunch
- Burkesville Medical Supply, Inc
All providers in Burkesville, KY · Speech-Language Pathologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.