Individual
EDIE GAYLE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
103 COUNTY RD, BEDFORD, NH 03110-6202
(603) 472-3755
Mailing address
103 COUNTY RD, BEDFORD, NH 03110-6202
(603) 472-3755
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0781
NH
Other
Enumeration date
02/02/2021
Last updated
09/13/2021
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