Active NPIIndividual providerSole proprietor

Miss Jennifer R Sullivan, MS, CCC-SLP

Speech-Language Pathologist, in Fanwood, New Jersey

NPI Number1497998207
Practice location
161 Herbert Ave, Fanwood, NJ 07023
Fax
—
Last updated
December 8, 2016

Jennifer R Sullivan is a Speech-Language Pathologist, based in Fanwood, NJ. Jennifer R Sullivan practices in Fanwood, NJ and has the professional credentials of MS, CCC-SLP. The NPI Number for Jennifer R Sullivan is 1497998207 and holds a License No. 0179561 (NY). The current practice location address for Jennifer R Sullivan is 161 Herbert Ave, Fanwood, NJ 07023 and can be reached out via phone at 908-889-5309.

Provider Profile Details

NPI Number
1497998207
Provider Name
Jennifer R Sullivan
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
161 Herbert Ave, Fanwood, NJ 07023
Phone Number
908-889-5309
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 8, 2009
Last Update Date
December 8, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
161 Herbert Ave
Fanwood, NJ 07023
Zip
07023
Phone Number
908-889-5309
Fanwood, NJ 07023Get directions →

Provider Business Mailing Address Details

Address
161 Herbert Ave
Fanwood, NJ 07023-1643
City
Fanwood
State
NJ
Zip
07023-1643
Phone Number
908-889-5309

License Information

License Number
0179561
License State
NY
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

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 Miss Jennifer R Sullivan, MS, CCC-SLP?

The NPI number of Miss Jennifer R Sullivan, MS, CCC-SLP is 1497998207. It was assigned on April 8, 2009 and is currently active in the NPPES registry.

What is the specialty of Miss Jennifer R Sullivan, MS, CCC-SLP?

Miss Jennifer R Sullivan, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 0179561.

Where does Miss Jennifer R Sullivan, MS, CCC-SLP practice?

The practice location is 161 Herbert Ave, Fanwood, NJ 07023. The office can be reached at 908-889-5309 (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 1497998207 directly on the NPPES registry website.

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