Active NPIIndividual providerSole proprietor

Mrs. Jaime L Sullivan

Speech-Language Pathologist, in Worcester, Massachusetts

NPI Number1609110972
Practice location
338 Plantation St, Worcester, MA 01604-1637
Fax
—
Last updated
May 4, 2021

Jaime Lee Sullivan is a Speech-Language Pathologist, based in Worcester, MA. Jaime Lee Sullivan practices in Worcester, MA. The NPI Number for Jaime Lee Sullivan is 1609110972 and holds a License No. 1454 (NH). The current practice location address for Jaime Lee Sullivan is 338 Plantation St, Worcester, MA 01604-1637 and can be reached out via phone at 508-770-0089.

Provider Profile Details

NPI Number
1609110972
Provider Name
Jaime Lee Sullivan
Provider Entity Type
Individual
Gender
Female
Address
338 Plantation St, Worcester, MA 01604-1637
Phone Number
508-770-0089
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Other Names
Ms. Jaime Lee Testa (Former Name)
Provider Enumeration Date
November 26, 2012
Last Update Date
May 4, 2021
Certification Date
May 4, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
338 Plantation St
Worcester, MA 01604-1637
Zip
01604-1637
Phone Number
508-770-0089
Worcester, MA 01604Get directions →

Provider Business Mailing Address Details

Address
Making Waves Speech Language And Feeding Therapy INC
20 Industrial Park Drive
Nashua, NH 03062
City
Nashua
State
NH
Zip
03062
Phone Number
603-882-4500
Fax Number
603-882-4545

License Information

License Number (1)
1454
License State (1)
NH
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
8839
License State (2)
MA
Taxonomy (2)
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 Mrs. Jaime L Sullivan?

The NPI number of Mrs. Jaime L Sullivan is 1609110972. It was assigned on November 26, 2012 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jaime L Sullivan?

Mrs. Jaime L Sullivan is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NH under license number 1454.

Where does Mrs. Jaime L Sullivan practice?

The practice location is 338 Plantation St, Worcester, MA 01604-1637. The office can be reached at 508-770-0089 (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 1609110972 directly on the NPPES registry website.

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