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NPI Code Detail

MEDICARE: RACHEL A SULLIVAN M.S. ED. CF-SLP

MEDICARE: RACHEL A SULLIVAN M.S. ED. CF-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistNY

General Provider Information

NPI Number : 1457192080
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL A SULLIVAN M.S. ED. CF-SLP
Provider Business Mailing Address
First Line : 2201 W TYRE RD
Second Line :
City : SENECA FALLS
State : NY
Zip : 13148-9743
Country : US
Telephone Number : 315-651-1417
Fax Number :
Provider Business Practice Location Address
First Line : 4050 AVON RD
Second Line :
City : GENESEO
State : NY
Zip : 14454-9721
Country : US
Telephone Number : 585-243-3450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2024
Last Update Date : 06/26/2025

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Directions to “ RACHEL A SULLIVAN M.S. ED. CF-SLP” Practice Location

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