Shannon Sullivan, MA CCC-SLP - Speech-Language Pathologist in Sturbridge, MA

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Shannon Sullivan, MA CCC-SLP is a Speech-language Pathologist based in Sturbridge, Massachusetts. Shannon Sullivan is licensed to practice in Massachusetts (license number 5734) and her current practice location is 64 Main St, Sturbridge, Massachusetts. She can be reached at her office (for appointments etc.) via phone at (774) 318-1900.

NPI number for Shannon Sullivan is 1114394202 and her current mailing address is 64 Main St, Sturbridge, Massachusetts. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114394202.

Contact Information

Shannon Sullivan, MA CCC-SLP
64 Main St,
Sturbridge, MA 01566-1244
(774) 318-1900
(774) 272-8810

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Healthcare Provider's Profile

Full NameShannon Sullivan
GenderFemale
SpecialitySpeech-language Pathologist
Location64 Main St, Sturbridge, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114394202
  • Provider Enumeration Date: 08/25/2015
  • Last Update Date: 05/08/2019

Medical Identifiers

Medical identifiers for Shannon Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114394202NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 5734 (Massachusetts)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. Shannon 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 AddressPractice Location Address
Shannon Sullivan, MA CCC-SLP
64 Main St,
Sturbridge, MA 01566-1244

Ph: (774) 318-1900		Shannon Sullivan, MA CCC-SLP
64 Main St,
Sturbridge, MA 01566-1244

Ph: (774) 318-1900

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Speech-Language Pathologist in Sturbridge, MA


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