Sullivan, Shannon
Sullivan, Shannon is an individual health care provider with primary practice located at 64 Main St , Sturbridge MA 01566-1244. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Sullivan, Shannon can be contacted via phone (774) 318-1900.Contact Information
Primary practice address
64 Main St
Sturbridge MA 01566-1244
Phone: (774) 318-1900
Fax: (774) 272-8810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 5734 | Massachusetts |
Profile Details
| NPI number | 1114394202 |
|---|---|
| LBN Legal business name | Sullivan, Shannon |
| Credentials | MA CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2015 |
| Last updated | May 8th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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