Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114394202 Individual Practitioner Female Practitioner

Shannon Sullivan , MA CCC-SLP

Speech-Language Pathologist • Sturbridge, MA

Professional Overview & Biography Verified Profile Summary

Shannon Sullivan, MA CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Sturbridge, MA. Practice services are available at 64 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

64 Main St

Sturbridge, MA 015661244

Telephone 7743181900
Fax 7742728810
Associated Practice Facility / Clinic
🏢 South County Therapies Llc Facility NPI 1912437633

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Sturbridge, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Sturbridge, MA (4034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MA 5734

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Sarah Murphy

Occupational Therapist

NPI 1619509304

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 08, 2019

Registered at 64 MAIN ST, STURBRIDGE, MA 015661244 (Tel: 7743181900)

📍
Updated Business Mailing Address May 08, 2019

Registered at 64 MAIN ST, STURBRIDGE, MA 015661244 (Tel: 7743181900)

👤
Provider Name / Credentials Updated May 08, 2019

Recorded as SHANNON SULLIVAN, MA CCC-SLP

NPI Profile Active August 25, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2015

Registered at 107 OTIS ST, NORTHBOROUGH, MA 015322459 (Tel: 5088982688)

📍
Updated Business Mailing Address August 25, 2015

Registered at 107 OTIS ST, NORTHBOROUGH, MA 015322459

👤
Provider Name / Credentials Updated August 25, 2015

Recorded as SHANNON SULLIVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2015

Speech-Language Pathologist (License #5734 in MA)

🟢
Initial NPI Registration & Enumeration August 25, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114394202
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2015
Last Update: May 08, 2019
Sole Proprietor: No

Mailing Address

64 Main St

Sturbridge, MA 015661244

Phone: 7743181900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.