DR. NATALIE JEAN SULLIVAN


Address: 3760 Convoy St Ste 204, San Diego, CA 92111-3744
Phone: 8585140375

DR. NATALIE JEAN SULLIVAN (NPI# 1407311640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407311640
Entity Type Individual
Full Name DR. NATALIE JEAN SULLIVAN
Other Name NATALIE JEAN SANDER
Credential PHD, CCC-SLP
Practice Address 3760 Convoy St Ste 204
San Diego
CA 92111-3744
Mailing Address 772 Denise Ln
El Cajon
CA 92020-6413
Practice Telephone 8585140375
Mailing Telephone 7572897670
Enumeration Date 2019-02-01
Last Update Date 2019-02-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 27904 CA Speech, Language and Hearing Service Providers

Other Providers NATALIE SULLIVAN

NPI Name Taxonomy Address Enumeration
1851905053 Natalie Sullivan Speech-Language Pathologist 1130 Ten Rod Rd Ste F101, North Kingstown, RI 02852-4170 2020-09-04
1952954109 Natalie Sullivan Behavior Technician 11650 Iberia Pl Ste 130, San Diego, CA 92128-2431 2019-07-17
1932631694 Natalie Sullivan Student in an Organized Health Care Education/Training Program 2150 Pennsylvania Ave Nw, The Gw Medical Faculty Associates, Washington, DC 20037-3201 2017-03-31
1770844375 Natalie Sullivan Home Health Aide 821 Kennedy St Nw, Washington, DC 20011-2913 2012-05-31

Office Location

Street Address 3760 CONVOY ST STE 204
City SAN DIEGO
State CA
Zip Code 92111-3744

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518146067 Arlin C Libertino Physical Therapist 3760 Convoy St Ste 204, San Diego, CA 92111-3744 2007-11-01
1265086243 Rebecca Edith Buza Occupational Therapist 3760 Convoy St Ste 204, San Diego, CA 92111-3744 2019-07-29
1164926218 Katherine Joan Simmons Speech-Language Pathologist 3760 Convoy St Ste 204, San Diego, CA 92111-3744 2018-03-22
1881114163 Cynthia Yonan Speech-Language Pathologist 3760 Convoy St Ste 204, San Diego, CA 92111-3744 2017-06-27
1538689013 Anna Magnuson Occupational Therapist 3760 Convoy St Ste 204, San Diego, CA 92111-3744 2017-06-26
1336677889 Brian R White Physical Therapist 3760 Convoy St Ste 204, San Diego, CA 92111-3744 2017-05-29
1265960991 Catherine Rostan Speech-Language Pathologist 3760 Convoy St Ste 204, San Diego, CA 92111-3744 2017-05-25
1811425549 Casey Elizabeth Converse Occupational Therapist 3760 Convoy St Ste 204, San Diego, CA 92111-3744 2017-05-25
1982145397 Kelly Tyler Occupational Therapist 3760 Convoy St Ste 204, San Diego, CA 92111-3744 2017-03-17
1679010151 Krystle Desquitado Physical Therapist 3760 Convoy St Ste 204, San Diego, CA 92111-3744 2017-01-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982220653 Karen Elizabeth Mitchell Registered Nurse County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 2020-06-18
1912523804 Access Medical, Inc. Durable Medical Equipment & Medical Supplies 4150 Convoy Street, Suite A, San Diego, CA 92111 2020-06-17
1154944551 Mei Ling Milan Szeto Student in an Organized Health Care Education/Training Program 7917 Ostrow Street, Suite A, San Diego, CA 92111 2020-05-20
1346893831 Leticia Isabel Peralta Assistant Behavior Analyst 563 Balboa Avenue. Number 521, San Diego, CA 92111 2019-07-23
1295204394 Demetria Serfas Behavioral Analyst 563 Balboa Ave #521, San Diego, CA 92111 2018-11-19
1568981678 Ross Psychology Psychologist 4883 Ronson Court, Suite K, San Diego, CA 92111 2017-09-11
1225554587 Bianca Acosta Technician, Other 563 Balboa Ave. #521, San Diego, CA 92111 2017-08-18
1194240085 Kazuhiro Kato Dentist 3707 Convoy St., San Diego, CA 92111 2017-08-11
1073038527 Joanne Epps-yentz Licensed Vocational Nurse 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 2017-08-06
1184158446 Positive Behavior Supports Corp Community/Behavioral Health 563 Balboa Ave, 521, San Diego, CA 92111 2017-04-13
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922605898 Little Rose Speech Therapy, Inc. Speech-Language Pathologist 11990 Stoney Peak Dr Apt 1106, San Diego, CA 92128-6481 2020-10-05
1710594122 Chelsea A Johnson Speech-Language Pathologist 325 W Washington St Ste 2-143, San Diego, CA 92103-1946 2020-09-29
1770195083 Emma Kotsher Speech-Language Pathologist 2081 Cable St, San Diego, CA 92107-2573 2020-08-18
1891310165 Ingrid Wolfer Exerjian Speech-Language Pathologist 1844 Malden St, San Diego, CA 92109-2208 2020-06-12
1326663014 Fernanda Manriquez Speech-Language Pathologist 2751 Roosevelt Rd # 205, San Diego, CA 92106-6180 2020-06-09
1588288567 Samantha Sandler Speech-Language Pathologist 2975 Euclid Ave Apt 10, San Diego, CA 92105-3690 2020-06-04
1225652910 Laura L Kishaba Speech-Language Pathologist 13343 Samantha Ave, San Diego, CA 92129-2164 2020-05-29
1003436643 Carrie Chouinard Speech-Language Pathologist 7836 Mission Montana Pl, San Diego, CA 92120-1543 2020-04-23
1801424023 Chelsey Jean Krug Speech-Language Pathologist 9114 Flanders Dr, San Diego, CA 92126-2827 2020-04-01
1104452978 Joyride Therapeutic Adventures Speech-Language Pathologist 3064 Thorn St, San Diego, CA 92104-4639 2020-03-12
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Competitor

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City SAN DIEGO
Zip Code 92111

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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