Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821241548 Individual Practitioner Female Practitioner

Mary Beth Sullivan , MS ED, CCC-SLP

Speech-Language Pathologist • Oswego, NY

Professional Overview & Biography Verified Profile Summary

Mary Beth Sullivan, MS ED, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Oswego, NY. Practice services are available at 159 W 1ST ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

159 W 1st St

Oswego, NY 131262045

Telephone 3153429575
Associated Practice Facility / Clinic
🏢 Special Programs, Inc. Facility NPI 1255584017

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Oswego, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
88 Specialists

Practicing in Oswego, NY (25106 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 NY 005340-1

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

40 Associated Practitioners

MASTERSOFSCIENCE

Claire Grosso

Specialist

NPI 1003224288
Kenna Boyce

Occupational Therapy Assistant

NPI 1003274044
NPI 1003343021
NPI 1003422593
NPI 1003603747

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 28, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location October 28, 2008

Registered at 159 W 1ST ST, OSWEGO, NY 131262045 (Tel: 3153429575)

📍
Updated Business Mailing Address October 28, 2008

Registered at 215 BASSETT ST, SYRACUSE, NY 132102113 (Tel: 3154724404)

👤
Provider Name / Credentials Updated October 28, 2008

Recorded as MARY BETH SULLIVAN, MS ED, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2008

Speech-Language Pathologist (License #005340-1 in NY)

🟢
Initial NPI Registration & Enumeration October 25, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1821241548
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2008
Last Update: October 28, 2008
Sole Proprietor: No

Mailing Address

215 Bassett St

Syracuse, NY 132102113

Phone: 3154724404

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.