Sullivan, Stacey Lynn

Sullivan, Stacey Lynn is an individual health care provider with primary practice located at 275 Cambridge St Pob-3, Boston MA 02114-3108. 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, Stacey Lynn can be contacted via phone (617) 724-2045.

Contact Information

Primary practice address
275 Cambridge St Pob-3 Boston MA 02114-3108
Fax: (617) 724-0771
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 6466 Massachusetts

Profile Details

NPI number 1902158207
LBN Legal business name Sullivan, Stacey Lynn
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2012
Last updated Oct 10th, 2012 - about 14 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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