Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538103643 Individual Practitioner Female Practitioner

Elizabeth Gral Sullivan , MS, CCC-SLP

Speech-Language Pathologist • Mequon, WI

Professional Overview & Biography Verified Profile Summary

Elizabeth Sullivan, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Mequon, WI. Practice services are available at 13111 NORTH PORT WASHINGTON ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13111 North Port Washington Road

Mequon, WI 53097

Telephone 2622437444

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mequon, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
28 Specialists

Practicing in Mequon, WI (3821 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 WI 878-154

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

20 Associated Practitioners
Janet Ingold , PTA

Physical Therapy Assistant

NPI 1043240039

Physical Therapist Assistant

Dr. Alyssa Deardorff , DPT

Physical Therapist

NPI 1144803495

Doctor of Physical Therapy

Irene Hughey , PT

Physical Therapist

NPI 1184662686

Physical Therapist

Nancy Wiener , PT

Physical Therapist

NPI 1184666158

Physical Therapist

Catherine Stolz , OTR

Occupational Therapist

NPI 1194778555

Occupational Therapist Registered

Karen Ticcioni , LPTA

Physical Therapy Assistant

NPI 1225072887

Licensed Physical Therapist Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 30, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2012

Registered at 13111 NORTH PORT WASHINGTON ROAD, MEQUON, WI 53097 (Tel: 2622437444)

📍
Updated Business Mailing Address October 30, 2012

Registered at 816 E HYDE WAY, FOX POINT, WI 532173221 (Tel: 4143526817)

👤
Provider Name / Credentials Updated October 30, 2012

Recorded as ELIZABETH SULLIVAN, MS/CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2012

Speech-Language Pathologist (License #878-154 in WI)

🟢
Initial NPI Registration & Enumeration June 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1538103643
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2006
Last Update: October 30, 2012
Sole Proprietor: No

Mailing Address

816 E Hyde Way

Fox Point, WI 532173221

Phone: 4143526817

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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