Susan Lawrence-Dederich, MACCCSLP/L,TSHH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

05586-1 Issued in NY

Practice address

299 Lakefront Blvd
Buffalo, NY 14202-4325

Phone

(716) 853-4733

NPI assigned

Jul 2, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1003078809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 LAKEFRONT BLVD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142024325",
            "telephone_number": "716-853-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 LAKEFRONT BLVD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142024325",
            "telephone_number": "716-853-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE-DEDERICH",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "MACCCSLP/L,TSHH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "05586-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Richard Lawler, MD
• Nancy Roemig Lawler, MS CCC SLP
• Nelda Lawler, M.D.
• Kellie Lawley
• Tania Lawniczak, NURSE PRACTITIONER
• Brittany M Lawrence
• David Joseph Lawrence, M.D.
• Keishonta Lawrence
• Lynn Marie Lawrence, MD
• Rosalind Lawrence

• Speech-Language Pathologist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.