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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIRANDA SULLIVAN, MS, CCC-SLP

Active

MIRANDA SULLIVAN, MS, CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in EAGLE, Idaho. NPI 1124600697 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · EAGLE, ID

Registration Details

NPI Number
1124600697
Provider Type
Individual
Gender
Female
NPI Issued
Apr 24, 2021 (5.2619246721391 yrs)
Last Updated
Apr 24, 2021

Practice Information

Address
449 S FITNESS PL
EAGLE, ID, 836166828
Browse ID providers · Browse ZIP 83616
Phone
2089576301
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in EAGLE, ID

Name Credential NPI
SHARON ELIZABETH MORRISON-DOKE M.A., CCC-SLP 1881723377
DANIELLE MARIE WALLNER SLP 1225239783
MARY CELESTE HOWARD M.S. 1396993077
MS. LEAH DUNCAN WHITEMAN M.S. SLP-CCC 1659501716
DEBORAH ANNE WAITE MACCC-SLP 1588962674
MRS. JANET HOUSTON CASABONNE M.S.,CCC-SLP 1073807368
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.