Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033390653 Individual Practitioner Female Practitioner

Jacqueline P Sullivan , MA, CCC, SLP

Speech-Language Pathologist • Winter Park, FL

Professional Overview & Biography Verified Profile Summary

Jacqueline Sullivan, MA, CCC, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Winter Park, FL. Practice services are available at 1400 S ORLANDO AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1400 S Orlando Ave

Winter Park, FL 327895543

Telephone 4072570625
Fax 4078763466
Associated Practice Facility / Clinic
🏢 Stephen Schreiber, Md Facility NPI 1275581589

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Winter Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
88 Specialists

Practicing in Winter Park, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA313

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

9 Associated Practitioners
Alyssa Morris

Occupational Therapy Assistant

NPI 1023691888
Dr. Vincent Spoto , MD

Internal Medicine - Infectious Disease

NPI 1033160718

Doctor of Medicine (M.D.)

Dr. Ronald Oppenheim , MD

Psychiatry & Neurology - Neurology

NPI 1194722520

Doctor of Medicine (M.D.)

NPI 1205827417

Doctor of Medicine (M.D.)

Dr. Javier Tello , MD

Internal Medicine - Infectious Disease

NPI 1518917251

Doctor of Medicine (M.D.)

NPI 1689650723

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 26, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 26, 2007

Registered at 1400 S ORLANDO AVE, WINTER PARK, FL 327895543 (Tel: 4072570625)

📍
Updated Business Mailing Address November 26, 2007

Registered at 939 W 2ND AVE, WINDERMERE, FL 347868517 (Tel: 4072570625)

👤
Provider Name / Credentials Updated November 26, 2007

Recorded as JACQUELINE SULLIVAN, M.A.,CCC/SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2007

Speech-Language Pathologist (License #SA313 in FL)

🟢
Initial NPI Registration & Enumeration November 26, 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: 1033390653
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 26, 2007
Last Update: November 26, 2007
Sole Proprietor: Yes

Mailing Address

939 W 2nd Ave

Windermere, FL 347868517

Phone: 4072570625

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.