Merry C Sullivan, CCC-SLP is a
Speech-language Pathologist based in Mount Vernon, Washington. Merry C Sullivan is licensed to practice in Washington (license number LL60324864) and her current practice location is
920 S 2nd St, Mount Vernon, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 428-6141.
NPI number for Merry C Sullivan is 1053524173 and her current mailing address is 20366 Eric St, Mount Vernon, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053524173.
Healthcare Provider's Profile
| Full Name | Merry C Sullivan |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 920 S 2nd St, Mount Vernon, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053524173
- Provider Enumeration Date: 05/07/2007
- Last Update Date: 01/16/2013
Medical Identifiers
Medical identifiers for Merry C Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053524173 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MA00006054 (Washington) | Secondary |
| 235Z00000X | Speech-language Pathologist | LL60324864 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Merry C Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Merry C Sullivan, CCC-SLP
20366 Eric St,
Mount Vernon, WA 98274-7736
Ph: (360) 424-8845 | Merry C Sullivan, CCC-SLP
920 S 2nd St,
Mount Vernon, WA 98273-4205
Ph: (360) 428-6141 |
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