Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Stacy Sullivan, MA, CCC/LSP

Individual provider Speech-Language Pathologist · NPI 1497065213

MS. Stacy Sullivan, MA, CCC/LSP is a Speech-Language Pathologist in Centerport, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

235 Jackson Cres
Centerport, NY 11721
Phone: (631) 424-8972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 0065631 (NY)

Record details

NPI number1497065213
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC/LSP
Sole proprietorYes
NPI enumeratedOctober 14, 2010
Last updated in NPPESOctober 14, 2010

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