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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON SULLIVAN, MA CCC-SLP

Active

SHANNON SULLIVAN, MA CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in STURBRIDGE, Massachusetts. NPI 1114394202 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · STURBRIDGE, MA

Registration Details

NPI Number
1114394202
Provider Type
Individual
Gender
Female
NPI Issued
Aug 25, 2015 (10.971499675169 yrs)
Last Updated
May 8, 2019
License
5734 (MA)

Practice Information

Address
64 MAIN ST
STURBRIDGE, MA, 015661244
Browse MA providers · Browse ZIP 01566
Phone
7743181900
Fax
7742728810
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in STURBRIDGE, MA

Name Credential NPI
DR. SADIE JOHANNA FULLAM EDD 1215319843
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.