Therese Ann Giorsetti, MA CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP1526 Issued in AZ

Practice address

4000 N Cummings St
Flagstaff, AZ 86004-2437

Phone

(928) 773-4140

Fax

(928) 773-4138

NPI assigned

Jan 5, 2007

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 identifiers 2

Other names 1

• Therese Ann Sudbeck Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184772469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 N HARRIS WAY",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041727",
            "telephone_number": "928-779-3088",
            "fax_number": "928-773-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 N CUMMINGS ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860042437",
            "telephone_number": "928-773-4140",
            "fax_number": "928-773-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIORSETTI",
        "first_name": "THERESE",
        "middle_name": "ANN",
        "credential": "MA CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP1526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA ACCOUNT NUMBER",
            "identifier": "01035929",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP LICENSE NUMBER",
            "identifier": "SLP1526",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESE",
            "last_name": "SUDBECK",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Gilkey, FNP
• Elizabeth Gilmore, CRNA
• Lillian K Gilmore, R.N.
• Lynnette Caycee Gilmore, DPT
• Cory Matthew Gingold, PA
• Brendan P Girschek, MD
• Jonathan S Gleeman, PHARMD
• Sandra Glick-Ridley, MSPT
• Nitza L Glick, PA-C
• Sarah Gloeckler

• Speech-Language Pathologist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.