Individual
NATALIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
60 PAYSON ST, WINTHROP, MA 02152-1639
(617) 846-5507
Mailing address
16 PECKHAM AVE, NEWPORT, RI 02840-1753
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
76366
RI
235Z00000X
Speech-Language Pathologist
Primary
SLP101222
MA
235Z00000X
Speech-Language Pathologist
SP01651
RI
Other
Enumeration date
09/04/2020
Last updated
09/19/2024
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