Dolores Arlt Sullivan, SLP is a
Speech-language Pathologist based in St. Michaels, Arizona. Dolores Arlt Sullivan is licensed to practice in Arizona (license number 4028) and her current practice location is
1 Mi N Of 264 Mustang Road, St. Michaels, Arizona. She can be reached at her office (for appointments etc.) via phone at
(928) 871-2822.
NPI number for Dolores Arlt Sullivan is 1275757460 and her current mailing address is Po Box 3327, Gallup, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275757460.
Healthcare Provider's Profile
Full Name | Dolores Arlt Sullivan |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 1 Mi N Of 264 Mustang Road, St. Michaels, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275757460
- Provider Enumeration Date: 04/12/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dolores Arlt Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275757460 | NPI | - | NPPES |
921280 | Medicaid | AZ | |
AZ0308030 | Other | AZ | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 4028 (Arizona) | 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. Dolores Arlt 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 |
Dolores Arlt Sullivan, SLP Po Box 3327, Gallup, NM 87305-3327 Ph: (505) 863-8887 | Dolores Arlt Sullivan, SLP 1 Mi N Of 264 Mustang Road, St. Michaels, AZ 86511-0100 Ph: (928) 871-2822 |
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