Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629835913 Individual Practitioner Female Practitioner

Jennifer Sullivan , MS, CCC-SLP

Speech-Language Pathologist • Maitland, FL

Professional Overview & Biography Verified Profile Summary

Jennifer Sullivan, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Maitland, FL. Practice services are available at 400 S ORLANDO AVE STE 204 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 S Orlando Ave Ste 204

Maitland, FL 327515644

Telephone 4079003026
Associated Practice Facility / Clinic
🏢 Therapy West 2, Llc Facility NPI 1366141293

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Maitland, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
36 Specialists

Practicing in Maitland, FL (11640 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

CMS Verified: 2024-03-03
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA5786

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.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Lauren Hamner , MA, CCC-SLP

Speech-Language Pathologist

NPI 1609631340

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Dominique Kiefer

Occupational Therapist - Pediatrics

NPI 1689856130
Jan Curley , MA CCC-SLP

Speech-Language Pathologist

NPI 1770389090

MACCCSLP

Cesley Taft

Occupational Therapist - Pediatrics

NPI 1992505549

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 04, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 04, 2024

Registered at 400 S ORLANDO AVE STE 204, MAITLAND, FL 327515644 (Tel: 4079003026)

📍
Updated Business Mailing Address March 04, 2024

Registered at 507 DUNRAVEN DR, WINTER PARK, FL 327924622 (Tel: 3213033233)

👤
Provider Name / Credentials Updated March 04, 2024

Recorded as JENNIFER SULLIVAN, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2024

Speech-Language Pathologist (License #SA5786 in FL)

🟢
Initial NPI Registration & Enumeration March 04, 2024

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: 1629835913
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 04, 2024
Last Update: March 04, 2024
Sole Proprietor: Yes

Mailing Address

507 Dunraven Dr

Winter Park, FL 327924622

Phone: 3213033233

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.