Individual
DR. THERESA PAULETTE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
250 TUYTENBRIDGE RD, LAKE KATRINE, NY 12449-5429
(845) 336-7235
(845) 336-4726
Mailing address
513 PINE RD, COPAKE, NY 12516-1109
(518) 329-5761
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001487
NY
235Z00000X
Speech-Language Pathologist
001886
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473001
—
NY
Enumeration date
04/24/2007
Last updated
01/25/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us