Individual
KERI A SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 QUAKER HWY, UXBRIDGE, MA 01569-1628
(508) 278-7810
Mailing address
665 ELM ST, EAST BRIDGEWATER, MA 02333-1003
(774) 259-7934
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3642
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP0192
BCBS
MA
Enumeration date
06/01/2007
Last updated
07/08/2007
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