Kelsey Sullivan, CCC-SLP
Kelsey Sullivan, CCC-SLP is a Qualified Speech Language Pathologist in Glen Carbon, Illinois. Qualified in 2011, 15 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 15
- Licensed in
- IL
- In the registry since
- 2012
What do these letters mean?
- CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
- A speech-language pathologist certified by ASHA.
Practice location Address checks out
200 S Station RdGlen Carbon, IL 62034-2777
Phone: (618) 288-5014
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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 146011094 (IL) |
|---|
Record details
| NPI number | 1346506789 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CCC-SLP |
| Sole proprietor | Yes |
| NPI enumerated | April 10, 2012 |
| Last updated in NPPES | May 2, 2022 |
| Certification date | May 2, 2022 |
| Mailing address | 209 W Division St, Maryville, IL 62062-6831 |
Medicare enrollment
| Medicare specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Glen Carbon
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Mrs. Kristen Kay Miller
141 Crystal Gate Ln, Glen Carbon, IL 62034-1134 · (618) 741-7470
-
Megan Leslie Pani
216 Glenlake Dr, Glen Carbon, IL 62034-1172 · (217) 637-6347
-
Leslie Roberts-Tolliver, MS, CCC-SLP
35 Crestview Dr, Glen Carbon, IL 62034-1026 · (618) 420-2929
-
Roots & Wings Pediatric Therapy
215 Ashford Dr, Glen Carbon, IL 62034-8516 · (618) 791-5554
-
Patricia J Tracy, MS, CCC-SLP
7A Ginger Creek Village Dr, Glen Carbon, IL 62034-4916 · (618) 656-7157
-
Stephanie Wallace, SLP
1014 Glen Crossing Rd, Glen Carbon, IL 62034-8517 · (618) 655-6150