| Kelly Sullivan, | |
|
100 Cummings Ctr Ste 135h, Beverly, MA 01915-6127 | |
| (978) 927-0172 | |
| Not Available |
| Full Name | Kelly Sullivan |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 100 Cummings Ctr Ste 135h, Beverly, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699375899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 77836-SP-SL (Massachusetts) | Primary |
| Provider Name | Speech Therapy Group Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1447289103 PECOS PAC ID: 4183714462 Enrollment ID: O20110224000201 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Sullivan, 200 Presidential Way Unit 2113, Woburn, MA 01801-1298 Ph: () - | Kelly Sullivan, 100 Cummings Ctr Ste 135h, Beverly, MA 01915-6127 Ph: (978) 927-0172 |
Jamie Selvidio, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Cummings Ctr, Suite 135h, Beverly, MA 01915 Phone: 978-927-0172 Fax: 978-927-0179 | |
Vanessa M Athanas, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Cummings Ctr Ste 350g, Beverly, MA 01915 Phone: 978-712-0003 | |
Meghan Ward, MS SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Cummings Ctr Ste 135h, Beverly, MA 01915 Phone: 978-927-0172 | |
Linda K Murphy, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 53 Dane St, Beverly, MA 01915 Phone: 617-930-3735 Fax: 617-273-0814 | |
Mrs. Candis Ann Bolden, MS/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 111 Dodge St, Beverly, MA 01915 Phone: 978-921-1182 | |
Alaina Jayne Martens, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Cummings Ctr Ste 350g, Beverly, MA 01915 Phone: 978-712-0003 | |
Catlin Converse Khurana, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Cummings Ctr, Suite 341d, Beverly, MA 01915 Phone: 617-930-3735 |