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

Kathleen Edith Sullivan, CCC-SP

Individual provider Speech-Language Pathologist · NPI 1194871491

Kathleen Edith Sullivan, CCC-SP is a Speech-Language Pathologist in Nesconset, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

6 Gemini Ln
Nesconset, NY 11767-1708
Phone: (631) 265-0953
Fax: (631) 265-0969
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 005260-1 (NY)

Record details

NPI number1194871491
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SP
Sole proprietorYes
NPI enumeratedJanuary 27, 2007
Last updated in NPPESJuly 8, 2007

Other providers in Nesconset