Shannon Sullivan, MA CCC-SLP
NPI #1114394202 in Sturbridge, Massachusetts
Provider Information
- NPI Number
- 1114394202
- Entity Type
- Individual
- Name
- Shannon Sullivan, MA CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA CCC-SLP
- Enumeration Date
- Aug 25, 2015
- Last Updated
- May 8, 2019
Practice Location
- Address
- 64 MAIN ST
- City
- Sturbridge
- State
- Massachusetts
- ZIP Code
- 01566-1244
- Phone
- (774) 318-1900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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