Provider Demographics
NPI:1750794301
Name:LITTLETON, SUNDI (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SUNDI
Middle Name:
Last Name:LITTLETON
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 MACEY LN
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-8212
Mailing Address - Country:US
Mailing Address - Phone:318-422-2627
Mailing Address - Fax:
Practice Address - Street 1:244 MACEY LN
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-8212
Practice Address - Country:US
Practice Address - Phone:318-422-2627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-10
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5048235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist