Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Sullivan, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1710120308

Jessica Sullivan, CCC-SLP is a Speech-Language Pathologist in Decatur, Illinois. Practices as a sole proprietor. Licensed in Illinois, Kansas and Missouri.

Licensed in
IL, KS, MO
In the registry since
2009
Specialties on file
3
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2300 N Edward St
Decatur, IL 62526-4192
Phone: (217) 876-2680
Fax: (217) 876-2630
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 146.015000 (IL)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 2949 (KS)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 2008023621 (MO)

Record details

NPI number1710120308
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedApril 12, 2009
Last updated in NPPESMay 9, 2022
Certification dateMay 9, 2022

Other providers in Decatur