STACY SULLIVAN

CENTERPORT, NY
NPI1497065213
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  0065631)
Enumeration Date2010-10-14
Last Update Date2010-10-14
Business Address
Ms. STACY SULLIVAN MA,CCC/LSP
235 JACKSON CRESCENT
CENTERPORT, NY 11721
Phone number: 631-424-8972
Mailing Address
Ms. STACY SULLIVAN MA,CCC/LSP
235 JACKSON CRES
CENTERPORT, NY 11721-1054
Phone number: 631-424-8972