Susan D Dixon, M.A., C.C.C.
Individual provider Active NPI Speech-Language Pathologist · Martinsville, IN
NPI 1073633962 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1073633962
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 22001801A (IN)
- Practice address
- 4541 E Hacker Creek Rd
Martinsville, IN 46151-9357 - Phone
- (765) 349-1353
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22001801A | IN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22001801A | IN | Yes |
Addresses
Primary practice location
4541 E Hacker Creek Rd
Martinsville, IN 46151-9357
Mailing address
4541 E Hacker Creek Rd
Martinsville, IN 46151-9357
Phone (765) 349-1353
Other providers in Martinsville, IN
- Dalton Medical Transport
- David M Sparks DDS
- Jennifer Fawn Davis
- Kevin Deloria
- Andrea Louise Dixon
- Donald Fantuzzo, DDS, Inc.
- Richard Travis Dotterer Jr.
- Jeanette Dow
- Julie A Drapalik
- Dungarvin Indiana, LLC
All providers in Martinsville, IN · Speech-Language Pathologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.