MS. MARY J SULLIVAN


Address: 95 Skowhegan Rd, Maine Center for Integrated Rehab, Fairfield, ME 04937-3303
Phone: 2074531330

MS. MARY J SULLIVAN (NPI# 1215267554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215267554
Entity Type Individual
Full Name MS. MARY J SULLIVAN
Credential SLP
Practice Address 95 Skowhegan Rd
Maine Center for Integrated Rehab
Fairfield
ME 04937-3303
Practice Telephone 2074531330
Mailing Telephone 2074531330
Enumeration Date 2010-01-08
Last Update Date 2010-01-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 235Z00000X Speech-Language Pathologist SP7845SL MA Speech, Language and Hearing Service Providers
Y 235Z00000X Speech-Language Pathologist SP1885 ME Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ME 433215399 05

Other Providers MARY SULLIVAN

NPI Name Taxonomy Address Enumeration
1487135430 Mary Sullivan Registered Nurse 2527 Hiawatha, San Antonio, TX 78210-5422 2018-08-28
1508315961 Mary Sheila Sullivan Dietitian, Registered 16 Raymond Dr, Wilbraham, MA 01095-2606 2016-09-27
1073851192 Mary Barbara Sullivan General Practice 1403 Wind River Dr Se, Huntsville, AL 35802-3936 2013-01-24
1144572546 Mary Elizabeth Sullivan Social Worker 123 Garden St, Needham, MA 02492-2029 2012-10-09
1164784781 Mary Sullivan Specialist 3 Hawthorne St, Hicksville, NY 11801-2607 2012-06-10
1811268980 Mary E Sullivan Psychologist 901 E Hackberry Ave Rm C-204, Mcallen, TX 78501-6502 2012-01-22
1366756272 Mary Kate Sullivan Occupational Therapy Assistant 50 Madison Rd, Dumas, AR 71639-9385 2010-08-03
1740592955 Mary Elizabeth Sullivan Social Worker 2201 South 17th Street, Lincoln, NE 68502-2953 2010-07-06
1588893564 Mary Loraine Sullivan Obstetrics & Gynecology 133 W Main St # 240, El Cajon, CA 92020-3315 2009-07-10
1295978153 Mary I Sullivan Counselor 725 River St, Allegan, MI 49010-9501 2009-04-08

Office Location

Street Address 95 SKOWHEGAN RD
MAINE CENTER FOR INTEGRATED REHAB
City FAIRFIELD
State ME
Zip Code 04937-3303

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700418845 Patricia Averill King Recreation Therapist 95 Skowhegan Rd, Fairfield, ME 04937-3479 2020-02-06
1780922781 Sarah Marie Ingraham Occupational Therapy Assistant 95 Skowhegan Rd, Fairfield, ME 04937-3303 2013-01-25
1073851077 Sara Rivera Physical Therapy Assistant 95 Skowhegan Rd, Fairfield, ME 04937-3303 2013-01-25
1235426180 Lucinda Rasmussen Speech-Language Pathologist 95 Skowhegan Rd, Fairfield, ME 04937-3303 2011-06-29
1306141007 Dana M Haddad Speech-Language Pathologist 95 Skowhegan Rd, Fairfield, ME 04937-3479 2011-01-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285171629 Caroline Walsh Toto-lawrence Technician 258 Ridge Road, Fairfield, ME 04937 2017-01-24
1396144002 Debra Ann Doody Dental Hygienist 294 Rt 201 - Skowhegon Road, Fairfield, ME 04937 2014-08-19
1922011840 Robert Carroll Turner Dentist 294 Route 201, Fairfield, ME 04937 2006-08-14
1932152279 Eastern Maine Homecare Home Health 24 Lawrence Drive, Fairfield, ME 04937 2006-05-18
1053387936 Michael E Clark Family Medicine 4 Sheridan Drive, Fairfield, ME 04937 2006-02-28
1235770454 Ronald Allan Dyer Registered Nurse 113 Main Street, Fairfield, ME 04937 2019-09-30
1780605550 Jose Antonio Ramirez Orthopaedic Surgery 107 First Park Drive, Oakland, ME 04937 2006-07-21
1043274046 James Earl Dunlap Family Medicine 4 Sheridan Drive, Fairfield, ME 04937 2006-04-14
1083942684 Christine Marie Stevens-sheehan Counselor 66 Western Ave, Fairfield, ME 04937-0378 2009-11-20
1295953743 Tania Coy Gardiner Hassard Optometrist 30 Main St, Fairfield, ME 04937-1120 2007-04-22
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy 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. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972119253 Katie Liston Speech-Language Pathologist 1804 County Road 445 N, Fairfield, IL 62837-2973 2020-09-22
1235750621 Alyson Samson Speech-Language Pathologist 3406 Waterbury Way, Fairfield, CA 94534-2940 2020-04-27
1215557541 Taylor Made Speech Pathology Services Speech-Language Pathologist 1234 Empire St Ste 1450, Fairfield, CA 94533-5711 2020-04-16
1326673062 Jobin Manuel Speech-Language Pathologist 1233 Swan Lake Dr, Fairfield, CA 94533-8137 2020-03-03
1376175315 Sarah Jo Chaney Speech-Language Pathologist 402 W Burlington Ave, Ste 200, Fairfield, IA 52556 2020-02-07
1225669856 Kashala Smith-tavaris Speech-Language Pathologist 60 Katona Dr Ste 24, Fairfield, CT 06824-3544 2020-02-02
1942766704 Colleen Marie Osorio Hernandez Speech-Language Pathologist 50 Potters Ln, Fairfield, CT 06824-3113 2019-02-18
1346704269 Laura Dodd Speech-Language Pathologist 3700 Lyon Rd Apt 86, Fairfield, CA 94534-7980 2019-01-24
1053807628 Kaitlyn Boorin Speech-Language Pathologist 55 Walls Dr Ste 204, Fairfield, CT 06824-5163 2018-07-07
1639672264 Haley Madison Hull Speech-Language Pathologist 5184 Gordon Valley Rd, Fairfield, CA 94534-9753 2018-03-09
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Competitor

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City FAIRFIELD
Zip Code 04937

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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