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

Laura Lee Sullivan, MSCLINICALREHABSE

Individual provider Speech-Language Pathologist · NPI 1215889332

Laura Lee Sullivan, MSCLINICALREHABSE is a Speech-Language Pathologist in Oakland, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

4351 Broadway
Oakland, CA 94611-4612
Phone: (510) 879-2305
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 SP10411 (CA)

Record details

NPI number1215889332
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCLINICALREHABSE
Sole proprietorNo
NPI enumeratedFebruary 11, 2026
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026

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