Sullivan, Stacy

Sullivan, Stacy is an sole proprietor health care provider with primary practice located at 235 Jackson Crescent , Centerport NY 11721. 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, Stacy can be contacted via phone (631) 424-8972.

Contact Information

Primary practice address
235 Jackson Crescent Centerport NY 11721
Phone: (631) 424-8972
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 0065631 New York

Profile Details

NPI number 1497065213
LBN Legal business name Sullivan, Stacy
Credentials MA,CCC/LSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2010
Last updated Oct 14th, 2010 - about 15 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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