Individual provider · Type 1 NPI

Stacy Sullivan, MA, CCC/LSP

Speech-Language Pathologist · Centerport, NY

NPI number 1497065213 Active

Practice location

235 Jackson Crescent
Centerport, NY 11721

Call (631) 424-8972 Map

Mailing address

235 Jackson Cres
Centerport, NY 11721-1054

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X0065631 (NY)

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 1497065213

Stacy Sullivan, MA, CCC/LSP's National Provider Identifier is 1497065213, issued on Oct 14, 2010. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Centerport, NY. The record was last updated on Oct 14, 2010.