SULLIVAN MCCALLON FRIEDRICH


Address: 413 W Montgomery Cross Rd, Savannah, GA 31406-3364
Phone: 9123544474

SULLIVAN MCCALLON FRIEDRICH (NPI# 1033717749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033717749
Entity Type Individual
Full Name SULLIVAN MCCALLON FRIEDRICH
Other Name SULLIVAN LYN MCCALLON
Credential M.S. CCC-SLP
Practice Address 413 W Montgomery Cross Rd
Savannah
GA 31406-3364
Mailing Address 104 Ristona Dr
Savannah
GA 31419-6234
Practice Telephone 9123544474
Mailing Telephone 2708739557
Enumeration Date 2020-10-14
Last Update Date 2020-10-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist SLP011270 GA Speech, Language and Hearing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
502 E General Stewart Way Ste C, Hinesville, GA 313132643 9123204737

Office Location

Street Address 413 W MONTGOMERY CROSS RD
City SAVANNAH
State GA
Zip Code 31406-3364

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1891324042 Magnolia Home Health, LLC Dba Home Instead Senior Care Homemaker 6709 Forest Park Drive, Suite B, Savannah, GA 31406 2020-04-08
1831737949 Sumona Mitchell Specialist 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 2019-12-19
1295373090 Gateway Behavioral Health Services Community/Behavioral Health 2121 East Derenne Ave, Savannah, GA 31406 2019-12-12
1114578820 Kenya Burns Technician 6 Castle Ct, Savannah, GA 31406 2019-09-24
1841755287 Southside Emergency Dental Center LLC Dentist 10515 White Bluff Rd., Savannah, GA 31406 2019-02-08
1639651003 Rachael Putman Physical Therapist 37 W Fairmont Ave Suite 323, Savannah, GA 31406 2018-09-03
1417439852 Happy Kids Therapies, LLC Physical Therapist 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 2018-09-01
1487146619 Georgia Occmed LLC Clinic/Center 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 2018-06-04
1023517505 Antioch Vascular Center, LLC Surgery 9104 Middleground Road, Suite 2, Savannah, GA 31406 2018-02-09
1518496116 Janay C Russell Counselor 6711 Forest Park Drive, Savannah, GA 31406 2017-06-07
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053929869 Simply Speech and Language Speech-Language Pathologist 3916 Battey St, Savannah, GA 31405-3412 2020-07-17
1669032736 Shannon Glynn Daniels Speech-Language Pathologist 100 Eisenhower Dr Ste H, Savannah, GA 31406-2504 2019-06-19
1669934139 Allison M Sobolewski Speech-Language Pathologist 515 E Jones St Apt B, Savannah, GA 31401-4709 2019-04-03
1801351895 Bryce Gabrielle Hannon Speech-Language Pathologist 132 Reese Way, Savannah, GA 31419-8479 2019-02-05
1497249064 Shelley Jenkins Speech-Language Pathologist 105 Farringdon Cir, Savannah, GA 31410-3184 2018-06-18
1649775354 Jessica Spencer Speech-Language Pathologist 4910 Pineland Dr, Savannah, GA 31405-2508 2018-03-26
1225532799 Amanda Chambers Speech-Language Pathologist 808 W Price Ave, Savannah, MO 64485-1671 2018-03-20
1700386034 Abigail Stuckey Speech-Language Pathologist 104 Carlton Rd, Savannah, GA 31410-4304 2018-02-13
1891219341 Ashlee Wilcox Speech-Language Pathologist 7130 Hodgson Memorial Dr Ste 100, Savannah, GA 31406-1527 2017-07-26
1356879555 Kayley John Speech-Language Pathologist 1000 Eisenhower Dr Ste H, Savannah, GA 31406-2601 2017-06-01
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Competitor

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City SAVANNAH
Zip Code 31406

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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