Suzanna Carbrey
Individual provider Active NPI Speech-Language Pathologist · Westchester, IL
NPI 1013380856 · NPPES record last updated Nov 2, 2015
Key facts
- NPI
- 1013380856
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 242.003744 (IL)
- Practice address
- 707 Newcastle Ave
Westchester, IL 60154-2632 - Phone
- (316) 631-5209
- NPI assigned
- Nov 2, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242.003744 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242.003744 | IL | Yes |
Addresses
Primary practice location
707 Newcastle Ave
Westchester, IL 60154-2632
Mailing address
707 Newcastle Ave
Westchester, IL 60154-2632
Phone (316) 631-5209
Other providers in Westchester, IL
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- Shamara C Calhoun
- Katherine Campbell
- Ryan Canfield
- Jeffrey S Cantor
- Care Bridge Health Services, Inc.
- Lauren M Carniello
- Peter James Caron
- Gianna Casali
- Casteel Integrative Psych
All providers in Westchester, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.