Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THERESA PAULETTE SULLIVAN, AUD
Active Sole ProprietorAudiologist · LAKE KATRINE, NY
Registration Details
- NPI Number
- 1205055076
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2007 (19.033888587166 yrs)
- Last Updated
- Jan 25, 2011
- Licenses
-
001487 (NY)001886 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
250 TUYTENBRIDGE RDLAKE KATRINE, NY, 124495429Browse NY providers · Browse ZIP 12449
- Phone
- 8453367235
- Fax
- 8453364726
- Primary Specialty
-
Audiologist
231H00000X
- Additional Specialty
- Speech, Language and Hearing Specialist
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.