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

Individual provider Speech-Language Pathologist · NPI 1124664461

Michelle Sullivan, CCC-SLP is a Speech-Language Pathologist in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
What do these letters mean?
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

4715 Yosemite Blvd
Modesto, CA 95357
Phone: (209) 574-9707
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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 18889 (CA)

Record details

NPI number1124664461
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedNovember 21, 2019
Last updated in NPPESNovember 21, 2019
Mailing address5600 Wilkins Ave, Oakdale, CA 95361-7752

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