Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY SULLIVAN, 222Q00000X
Active Sole ProprietorMALLORY SULLIVAN, 222Q00000X is a Developmental Therapist healthcare provider located in MAGNOLIA, Kentucky. NPI 1174013841 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · MAGNOLIA, KY
Registration Details
- NPI Number
- 1174013841
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 17, 2018 (8.25522491929 yrs)
- Last Updated
- May 17, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
1745 HAMMONSVILLE JONESVILLE RDMAGNOLIA, KY, 427577643Browse KY providers · Browse ZIP 42757
- Phone
- 2707667598
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in MAGNOLIA, KY
| Name | Credential | NPI |
|---|---|---|
| MS. KAYLA RENEE MCDOWELL | — | 1750688552 |
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.