MS. STACY SULLIVAN MA,CCC/LSP
NPI 1497065213
Speech-Language Pathologist in Centerport, NY
- Individual
- Female
- Speech-Language Pathologist
About STACY SULLIVAN
This page provides the complete NPI Profile along with additional information for Stacy Sullivan, a provider established in Centerport, New York with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1497065213 assigned on October 2010. The practitioner's primary taxonomy code is 235Z00000X with license number 0065631 (NY). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1497065213 Verify this NPI
- Provider Name
- MS. STACY SULLIVAN MA,CCC/LSP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 235 JACKSON CRESCENT CENTERPORT, NY 11721
- Location Phone
- (631) 424-8972
- Mailing Address
- 235 JACKSON CRES CENTERPORT, NY 11721
- Mailing Phone
- (631) 424-8972
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-14-2010
- Last Update Date
- 10-14-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- License No.
- 0065631
- License State
- NY
- Taxonomy Description
- The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497065213, enumerated as an "individual" on October 14, 2010.
The provider is located at 235 JACKSON CRESCENT CENTERPORT, NY 11721 and the phone number is (631) 424-8972.
Speech-Language Pathologist with taxonomy code 235Z00000X.
