Active NPIIndividual provider

Ms. Mary J Sullivan, SLP

Speech-Language Pathologist, in Fairfield, Maine

NPI Number1215267554
Practice location
95 Skowhegan RD, Maine Center For Integrated Rehab, Fairfield, ME 04937-3303
Fax
—
Last updated
January 8, 2010

Mary J Sullivan is a Speech-Language Pathologist, based in Fairfield, ME. Mary J Sullivan practices in Fairfield, ME and has the professional credentials of SLP. The NPI Number for Mary J Sullivan is 1215267554 and holds a License No. SP1885 (ME). The current practice location address for Mary J Sullivan is 95 Skowhegan RD, Maine Center For Integrated Rehab, Fairfield, ME 04937-3303 and can be reached out via phone at 207-453-1330.

Provider Profile Details

NPI Number
1215267554
Provider Name
Mary J Sullivan
Credential
SLP
Provider Entity Type
Individual
Gender
Female
Address
95 Skowhegan RD, Maine Center For Integrated Rehab, Fairfield, ME 04937-3303
Phone Number
207-453-1330
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
January 8, 2010
Last Update Date
January 8, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
95 Skowhegan RD
Maine Center For Integrated Rehab
Fairfield, ME 04937-3303
State
Maine
Zip
04937-3303
Phone Number
207-453-1330
Fairfield, ME 04937Get directions →

Provider Business Mailing Address Details

Address
95 Skowhegan RD
Maine Center For Integrated Rehab
Fairfield, ME 04937-3303
City
Fairfield
State
ME
Zip
04937-3303
Phone Number
207-453-1330

License Information

License Number (1)
SP1885
License State (1)
ME
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X · Primary
License Number (2)
SP7845SL
License State (2)
MA
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Mary J Sullivan, SLP?

The NPI number of Ms. Mary J Sullivan, SLP is 1215267554. It was assigned on January 8, 2010 and is currently active in the NPPES registry.

What is the specialty of Ms. Mary J Sullivan, SLP?

Ms. Mary J Sullivan, SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in ME under license number SP1885.

Where does Ms. Mary J Sullivan, SLP practice?

The practice location is 95 Skowhegan RD, Maine Center For Integrated Rehab, Fairfield, ME 04937-3303. The office can be reached at 207-453-1330 (phone).

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 1215267554 directly on the NPPES registry website.

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