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Active NPI 1124664461 Individual Practitioner Female Practitioner

Michelle Sullivan , CCC-SLP

Speech-Language Pathologist • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Michelle Sullivan, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Modesto, CA. Practice services are available at 4715 YOSEMITE BOULEVARD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4715 Yosemite Boulevard

Modesto, CA 95357

Telephone 2095749707
Associated Practice Facility / Clinic
🏢 Brighter Futures Therapeutic Learning Center Facility NPI 1417280892

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
56 Specialists

Practicing in Modesto, CA (13280 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 CA 18889

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.

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active November 21, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location November 21, 2019

Registered at 4715 YOSEMITE BOULEVARD, MODESTO, CA 95357 (Tel: 2095749707)

📍
Updated Business Mailing Address November 21, 2019

Registered at 5600 WILKINS AVE, OAKDALE, CA 953617752 (Tel: 2094997832)

👤
Provider Name / Credentials Updated November 21, 2019

Recorded as MICHELLE SULLIVAN, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2019

Speech-Language Pathologist (License #18889 in CA)

🟢
Initial NPI Registration & Enumeration November 21, 2019

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: 1124664461
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2019
Last Update: November 21, 2019
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

5600 Wilkins Ave

Oakdale, CA 953617752

Phone: 2094997832

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.