Healthcare Provider Details

I. General information

NPI: 1952225377
Provider Name (Legal Business Name): BARBARA SULLIVAN SLP.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 TROOST AVE
KANSAS CITY MO
64109-1538
US

IV. Provider business mailing address

12115 W 82ND TER
LENEXA KS
66215-2712
US

V. Phone/Fax

Practice location:
  • Phone: 816-418-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2001017161
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: