Individual provider · Type 1 NPI

Sadie Johanna Fullam, EDD

Speech-Language Pathologist · Sturbridge, MA

NPI number 1215319843 Active

Practice location

454 Main St
Sturbridge, MA 01518-1216

Mailing address

12 Hawthorne Rd
Sturbridge, MA 01566-1219

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X77277 (MA)

Speech-Language Pathologist: 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, resonan…

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About NPI 1215319843

Sadie Johanna Fullam, EDD's National Provider Identifier is 1215319843, issued on Jun 19, 2015. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Sturbridge, MA. The record was last updated on Jun 3, 2025.