Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750330114 Individual Practitioner Female Practitioner

Jill Marie Sullivan , MS CCCSLP

Speech-Language Pathologist • Malvern, AR

Professional Overview & Biography Verified Profile Summary

Jill Sullivan, MS CCCSLP is a registered healthcare professional specializing in Speech-Language Pathologist in Malvern, AR. Practice services are available at 307 CANON LANE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

307 Canon Lane

Malvern, AR 72104

Telephone 5016057808
Fax 5018444434

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Malvern, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
17 Specialists

Practicing in Malvern, AR (3707 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 AR 739

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

Commercial Insurance / Payer ID Bcbs
5X415 (AR)

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

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Updated Practice Location July 08, 2007

Registered at 307 CANON LANE, MALVERN, AR 72104 (Tel: 5016057808)

📍
Updated Business Mailing Address July 08, 2007

Registered at 307 CANON LANE, MALVERN, AR 72104 (Tel: 5016057808)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JILL SULLIVAN, MS CCCSLP

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

Speech-Language Pathologist (License #739 in AR)

🟢
Initial NPI Registration & Enumeration May 10, 2006

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: 1750330114
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

307 Canon Lane

Malvern, AR 72104

Phone: 5016057808

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.