Dr Sadie Johanna Fullam, EDD is a
Speech-language Pathologist based in Sturbridge, Massachusetts. Dr Sadie Johanna Fullam is licensed to practice in Massachusetts (license number 77277) and her current practice location is
454 Main St, Sturbridge, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(508) 301-2933.
NPI number for Dr Sadie Johanna Fullam is 1215319843 and her current mailing address is 12 Hawthorne Rd, Sturbridge, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215319843.
Healthcare Provider's Profile
Full Name | Dr Sadie Johanna Fullam |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 454 Main St, Sturbridge, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215319843
- Provider Enumeration Date: 06/19/2015
- Last Update Date: 06/03/2025
Medical Identifiers
Medical identifiers for Dr Sadie Johanna Fullam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215319843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 77277 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sadie Johanna Fullam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Sadie Johanna Fullam, EDD 12 Hawthorne Rd, Sturbridge, MA 01566-1219 Ph: (508) 344-4843 | Dr Sadie Johanna Fullam, EDD 454 Main St, Sturbridge, MA 01518-1216 Ph: (508) 301-2933 |
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