Sullivan, Elizabeth Mascolo

Sullivan, Elizabeth Mascolo is an individual health care provider with primary practice located at 720 Stoneridge Dr Suite 2, Bozeman MT 59718-7032. 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, Elizabeth Mascolo can be contacted via phone (406) 556-9853.

Contact Information

Primary practice address
720 Stoneridge Dr Suite 2 Bozeman MT 59718-7032
Phone: (406) 556-9853
Fax: (406) 586-2732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP984 Montana

Profile Details

NPI number 1881743235
LBN Legal business name Sullivan, Elizabeth Mascolo
Credentials M.A. CCCSLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881743235 NPPES
Montana Other 660570 BLUE CROSS BLUE SHIELD
Montana MEDICAID 0532474 BLUE CROSS BLUE SHIELD

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