Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey Lynn Sullivan, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1902158207

Stacey Lynn Sullivan, MS, CCC-SLP is a Speech-Language Pathologist in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2012.

Licensed in
MA
In the registry since
2012
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

275 Cambridge St POB-3
Boston, MA 02114-3108
Phone: (617) 724-2045
Fax: (617) 724-0771
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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 6466 (MA)

Record details

NPI number1902158207
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedOctober 10, 2012
Last updated in NPPESOctober 10, 2012

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