Dr. Sadie J Fullam, EDD
Speech-Language Pathologist, in Sturbridge, Massachusetts
1215319843- Practice location
- 454 Main St, Sturbridge, MA 01518-1216
- Phone
- 508-301-2933
- Fax
- —
- Last updated
- June 3, 2025
Sadie Johanna Fullam is a Speech-Language Pathologist, based in Sturbridge, MA. Sadie Johanna Fullam practices in Sturbridge, MA and has the professional credentials of EDD. The NPI Number for Sadie Johanna Fullam is 1215319843 and holds a License No. 77277 (MA). The current practice location address for Sadie Johanna Fullam is 454 Main St, Sturbridge, MA 01518-1216 and can be reached out via phone at 508-301-2933.
Provider Profile Details
- NPI Number
- 1215319843
- Provider Name
- Sadie Johanna Fullam
- Credential
- EDD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 454 Main St, Sturbridge, MA 01518-1216
- Phone Number
- 508-301-2933
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 19, 2015
- Last Update Date
- June 3, 2025
- Certification Date
- June 3, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 454 Main St
Sturbridge, MA 01518-1216 - City
- Sturbridge
- State
- Massachusetts
- Zip
- 01518-1216
- Phone Number
- 508-301-2933
Provider Business Mailing Address Details
- Address
- 12 Hawthorne RD
Sturbridge, MA 01566-1219 - City
- Sturbridge
- State
- MA
- Zip
- 01566-1219
- Phone Number
- 508-344-4843
License Information
- License Number
- 77277
- 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
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- Shannon Sullivan, MA CCC-SLPSpeech-Language Pathologist, · NPI 1114394202
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- Tracey Rocha Phelon, PHDPsychologist · NPI 1538583745
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Frequently Asked Questions
What is the NPI number of Dr. Sadie J Fullam, EDD?
The NPI number of Dr. Sadie J Fullam, EDD is 1215319843. It was assigned on June 19, 2015 and is currently active in the NPPES registry.
What is the specialty of Dr. Sadie J Fullam, EDD?
Dr. Sadie J Fullam, EDD is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 77277.
Where does Dr. Sadie J Fullam, EDD practice?
The practice location is 454 Main St, Sturbridge, MA 01518-1216. The office can be reached at 508-301-2933 (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 1215319843 directly on the NPPES registry website.