Susan Allyson Trede, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146002662 Issued in IL

Practice address

1 Lucinda Avenue
Northern Illinois Univ.,Speech-Language Hearing Clinic
Dekalb, IL 60115-2899

Phone

(815) 753-1481

Fax

(815) 753-1664

NPI assigned

Oct 23, 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

Other names 1

• Susan Allyson Wienke-Trede Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1114170065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 TERWILLIGER AVE",
            "city": "HAMPSHIRE",
            "state": "IL",
            "postal_code": "601409625",
            "telephone_number": "847-683-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LUCINDA AVENUE",
            "address_2": "NORTHERN ILLINOIS UNIV.,SPEECH-LANGUAGE HEARING CLINIC",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152899",
            "telephone_number": "815-753-1481",
            "fax_number": "815-753-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREDE",
        "first_name": "SUSAN",
        "middle_name": "ALLYSON",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146002662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "WIENKE-TREDE",
            "middle_name": "ALLYSON",
            "credential": "M.A., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Speech-Language Pathologist in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.