Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053740142 Individual Practitioner Female Practitioner

Deborah Sullivan

Speech-Language Pathologist • Lewiston, ID

Professional Overview & Biography Verified Profile Summary

Deborah Sullivan is a registered healthcare professional specializing in Speech-Language Pathologist in Lewiston, ID. Practice services are available at 415 6TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

415 6th St

Lewiston, ID 835012431

Telephone 2087996514
Associated Practice Facility / Clinic
🏢 Phoenix Radiology, Pllc Facility NPI 1164493334

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Lewiston, ID

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

Practicing in Lewiston, ID (967 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 ID SLP-1376

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

40 Associated Practitioners
Kyle Daly , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003465360

Certified Registered Nurse Anesthetist

Dr. David Souvenir , MD

Internal Medicine - Infectious Disease

NPI 1023026457

Doctor of Medicine (M.D.)

Dr. John Ho , MD

Radiology - Vascular & Interventional Radiology

NPI 1023096955

Doctor of Medicine (M.D.)

Dr. Susanne Choby , MD

Psychiatry & Neurology - Psychiatry

NPI 1033310719

Doctor of Medicine (M.D.)

Christopher Ricketts , PA

Physician Assistant

NPI 1033411277

Physician Assistant

Darci Graves , LMSW

Social Worker - Clinical

NPI 1033552393

Licensed Master Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 08, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2013

Registered at 415 6TH ST, LEWISTON, ID 835012431 (Tel: 2087996514)

📍
Updated Business Mailing Address November 08, 2013

Registered at 415 6TH ST, LEWISTON, ID 835012431

👤
Provider Name / Credentials Updated November 08, 2013

Recorded as DEBORAH SULLIVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2013

Speech-Language Pathologist (License #SLP-1376 in ID)

🟢
Initial NPI Registration & Enumeration November 08, 2013

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: 1053740142
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2013
Last Update: November 08, 2013
Sole Proprietor: No

Mailing Address

415 6th St

Lewiston, ID 835012431

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.