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

Individual provider Speech-Language Pathologist · NPI 1497998207

Miss. Jennifer R Sullivan, MS, CCC-SLP is a Speech-Language Pathologist in Fanwood, New Jersey. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

161 Herbert Ave
Fanwood, NJ 07023
Phone: (908) 889-5309
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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 0179561 (NY)

Record details

NPI number1497998207
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedApril 8, 2009
Last updated in NPPESDecember 8, 2016

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