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MRS. SOFIA BAGLIVO SULLIVAN M.A. CCC-SLP NPI 1417376708


NPI Information

NPI: 1417376708
Provider Name: MRS. SOFIA BAGLIVO SULLIVAN, M.A., CCC-SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
206 YORK ST APT 1
JERSEY CITY, NJ
ZIP 07302
Phone: (215) 512-1792
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MRS. Sofia Baglivo Sullivan, M.A., CCC-SLP is a speech language pathologist in Jersey City, NJ. The provider is 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. MRS. Sofia Baglivo Sullivan, M.A., CCC-SLP NPI is 1417376708. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

206 YORK ST APT 1
JERSEY CITY, NJ
ZIP 07302-645
Phone: (215) 512-1792

The enumeration date for this NPI number is 4/15/2014 and was last updated on 1/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistNo
2235Z00000XSpeech-Language Pathologist024595NEW YORKNo
3235Z00000XSpeech-Language Pathologist41YS01058600NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104174021MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.