Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angela Christine Sullivan, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1073980116

Angela Christine Sullivan, MS, CCC-SLP is a Speech-Language Pathologist in Lake Mary, Florida. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2015
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

124 Channel Dr
Lake Mary, FL 32746-2724
Phone: (503) 358-8182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence LL60428847 (WA)

Record details

NPI number1073980116
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 24, 2015
Last updated in NPPESOctober 31, 2019

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