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

Individual provider Speech-Language Pathologist · NPI 1629835913

Jennifer Sullivan, MS, CCC-SLP is a Speech-Language Pathologist in Maitland, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024
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

400 S Orlando Ave Ste 204
Maitland, FL 32751-5644
Phone: (407) 900-3026
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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 SA5786 (FL)

Record details

NPI number1629835913
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedMarch 4, 2024
Last updated in NPPESMarch 4, 2024
Certification dateMarch 3, 2024
Mailing address507 Dunraven Dr, Winter Park, FL 32792-4622

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