Theresa Sullivan in Jefferson City - Speech-language Pathologist

Theresa Sullivan - NPI 1255500039

Theresa Sullivan is a Speech-language Pathologist in Jefferson City, Missouri. Theresa Sullivan practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Theresa Sullivan is 1255500039. The last update date is 2008-02-26.

Theresa Sullivan's current location address is 315 E Dunklin St, Jefferson City, Missouri. You can contact this provider via phone number 5736593033 and fax number 5736323475. The mailing address for Theresa Sullivan is 315 E Dunklin St, Jefferson City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Theresa Sullivan
Address 315 E Dunklin St, Jefferson City, Missouri
Phone Number 5736593033
Fax Number 5736323475
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1255500039
Provider Enumeration Date 2008-02-26
Last Updated Date 2008-02-26

Provider Mailing Address Detail

Address 315 E Dunklin St
City Jefferson City
State Missouri (MO)
Post Code 651013128
Phone Number 5736593033
Fax Number 5736323475

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No LIFETIME
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

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FAQs about Theresa Sullivan

What is the unique identifier code issued to Theresa Sullivan by the Centers for Medicare & Medicaid Services?

The Theresa Sullivan has been assigned the NPI (National Provider Identifier) 1255500039. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Theresa Sullivan is physically located?

The Theresa Sullivan is physically situated at the following address: 315 E Dunklin St, Jefferson City, MO, 651013128.

What is Theresa Sullivan's specialized field of practice, and what is the corresponding taxonomy classification code?

The Theresa Sullivan's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1255500039 to Theresa Sullivan?

The Centers for Medicare & Medicaid Services assigned the 1255500039 to Theresa Sullivan on 2008-02-26.

When was the Theresa Sullivan's information last updated?

The Theresa Sullivan's information was last updated on 2008-02-26.

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