Michael Judson Suber, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

116260 Issued in TX

Practice address

6823 Flying Squirrel Rd
Gilmer, TX 75644-5377

Phone

(972) 533-1329

NPI assigned

Jul 18, 2022

Sex

Male

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": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1033844824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6823 FLYING SQUIRREL RD",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756445377",
            "telephone_number": "972-533-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6823 FLYING SQUIRREL RD",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756445377",
            "telephone_number": "972-533-1329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Earlene Dr",
            "address_purpose": "LOCATION",
            "city": "Quitman",
            "state": "TX",
            "postal_code": "757831611",
            "country_code": "US",
            "telephone_number": "972-533-1329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBER",
        "first_name": "MICHAEL",
        "middle_name": "JUDSON",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Lamar Smith, MD
• Allison Faye Speed, NP
• Sara L. Spurlock, OTA
• John Steets, D.C.
• Robin Leigh Stephenson, D.C.
• Denise Diane Swanson
• Chelsie Durene Talley, SLP
• Jimmy Michael Taylor, DDS
• Mike Terry
• Melanie Teubner-Humber, LPN, CHW

• Speech-Language Pathologist in Gilmer, TX
• Providers in Gilmer, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.