Sullivan, Theresa Paulette

Sullivan, Theresa Paulette is an sole proprietor health care provider with primary practice located at 250 Tuytenbridge Rd , Lake Katrine NY 12449-5429. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Sullivan, Theresa Paulette can be contacted via phone (845) 336-7235.

Contact Information

Primary practice address
250 Tuytenbridge Rd Lake Katrine NY 12449-5429
Phone: (845) 336-7235
Fax: (845) 336-4726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 001487 New York
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 001886 New York

Profile Details

NPI number 1205055076
LBN Legal business name Sullivan, Theresa Paulette
Credentials AUD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2007
Last updated Jan 25th, 2011 - about 13 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 1205055076 NPPES
New York MEDICAID 00473001

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