Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275757460 Individual Practitioner Female Practitioner

Dolores Arlt Sullivan , SLP

Speech-Language Pathologist • St. Michaels, AZ

Professional Overview & Biography Verified Profile Summary

Dolores Sullivan, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in St. Michaels, AZ. Practice services are available at 1 MI N OF 264 MUSTANG ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Mi N Of 264 Mustang Road

St. Michaels, AZ 865110100

Telephone 9288712822
Fax 9288712837
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in St. Michaels, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
1 Specialists

Practicing in St. Michaels, AZ (4584 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AZ 4028

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
921280 (AZ)
Commercial Insurance / Payer ID Blue Cross Blue Shield
AZ0308030 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Amanda Beekman , MA, OTRL

Occupational Therapist

NPI 1124249362

Master of Arts, Occupational Therapist Registered & Licensed

Leah West , PT

Physical Therapist

NPI 1376738542

Physical Therapist

Norma Tsosie

Specialist/Technologist - Speech-Language Assistant

NPI 1407042310
Erica Kish , PT, MPT

Physical Therapist

NPI 1588859789

Physical Therapist, Master of Physical Therapy

Melvina Bigthumb , MS

Specialist/Technologist - Speech-Language Assistant

NPI 1639362551

Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1 MI N OF 264 MUSTANG ROAD, ST. MICHAELS, AZ 865110100 (Tel: 9288712822)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 3327, GALLUP, NM 873053327 (Tel: 5058638887)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DOLORES SULLIVAN, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #4028 in AZ)

🟢
Initial NPI Registration & Enumeration April 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275757460
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 3327

Gallup, NM 873053327

Phone: 5058638887

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.