Mrs Deborah J Sullivan-witmer, CCC-SPLP is a
Speech-language Pathologist based in Minoa, New York. Mrs Deborah J Sullivan-witmer is licensed to practice in New York (license number 004274-1) and her current practice location is
128 Elm St, Minoa, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 656-7906.
NPI number for Mrs Deborah J Sullivan-witmer is 1205146065 and her current mailing address is 128 Elm St, Minoa, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205146065.
Healthcare Provider's Profile
| Full Name | Mrs Deborah J Sullivan-witmer |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 128 Elm St, Minoa, New York |
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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: 1205146065
- Provider Enumeration Date: 10/14/2010
- Last Update Date: 10/14/2010
Medical Identifiers
Medical identifiers for Mrs Deborah J Sullivan-witmer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205146065 | NPI | - | NPPES |
| 004274-1 | Other | NY | LICENSE SPEECH/LANGUAGE PATHOLOGY |
| 01018729 | Other | | CERTIFICATE OF CLINICAL COMPETENCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 004274-1 (New York) | 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. Mrs Deborah J Sullivan-witmer 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 |
|---|
Mrs Deborah J Sullivan-witmer, CCC-SPLP
128 Elm St,
Minoa, NY 13116-1520
Ph: (315) 656-7906 | Mrs Deborah J Sullivan-witmer, CCC-SPLP
128 Elm St,
Minoa, NY 13116-1520
Ph: (315) 656-7906 |
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