Shannon Sullivan, MA CCC-SLP
Speech-Language Pathologist, in Sturbridge, Massachusetts
1114394202- Practice location
- 64 Main St, Sturbridge, MA 01566-1244
- Phone
- 774-318-1900
- Fax
- 774-272-8810
- Last updated
- May 8, 2019
Shannon Sullivan is a Speech-Language Pathologist, based in Sturbridge, MA. Shannon Sullivan practices in Sturbridge, MA and has the professional credentials of MA CCC-SLP. The NPI Number for Shannon Sullivan is 1114394202 and holds a License No. 5734 (MA). The current practice location address for Shannon Sullivan is 64 Main St, Sturbridge, MA 01566-1244 and can be reached out via phone at 774-318-1900 and via fax at 774-272-8810.
Provider Profile Details
- NPI Number
- 1114394202
- Provider Name
- Shannon Sullivan
- Credential
- MA CCC-SLP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 64 Main St, Sturbridge, MA 01566-1244
- Phone Number
- 774-318-1900
- Fax Number
- 774-272-8810
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 25, 2015
- Last Update Date
- May 8, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 64 Main St
Sturbridge, MA 01566-1244 - City
- Sturbridge
- State
- Massachusetts
- Zip
- 01566-1244
- Phone Number
- 774-318-1900
- Fax Number
- 774-272-8810
Provider Business Mailing Address Details
- Address
- 64 Main St
Sturbridge, MA 01566-1244 - City
- Sturbridge
- State
- MA
- Zip
- 01566-1244
- Phone Number
- 774-318-1900
- Fax Number
- 774-272-8810
License Information
- License Number
- 5734
- License State
- MA
- Taxonomy
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Speech-Language Pathologist, providers near Sturbridge, MA
View all Speech-Language Pathologist, providers in Sturbridge →- Alyssa D. Oleary, M.s., Ccc-Slp, LLCSpeech-Language Pathologist, · NPI 1447194287
- Dr. Sadie J Fullam, EDDSpeech-Language Pathologist, · NPI 1215319843
- Emily E St. Thomas, SLPSpeech-Language Pathologist, · NPI 1407798754
- Hector Domenech Jr., PHARMDPharmacist · NPI 1063312569
- Tracey Rocha Phelon, PHDPsychologist · NPI 1538583745
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Frequently Asked Questions
What is the NPI number of Shannon Sullivan, MA CCC-SLP?
The NPI number of Shannon Sullivan, MA CCC-SLP is 1114394202. It was assigned on August 25, 2015 and is currently active in the NPPES registry.
What is the specialty of Shannon Sullivan, MA CCC-SLP?
Shannon Sullivan, MA CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 5734.
Where does Shannon Sullivan, MA CCC-SLP practice?
The practice location is 64 Main St, Sturbridge, MA 01566-1244. The office can be reached at 774-318-1900 (phone) or 774-272-8810 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114394202 directly on the NPPES registry website.