Susan McMann, CFY-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2016023490 Issued in MO

Practice address

405 Hillcrest St
Bonne Terre, MO 63628-1421

Phone

(573) 431-3300

Fax

(573) 358-7475

NPI assigned

Nov 3, 2016

Last updated

Nov 3, 2016By the provider in NPPES

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

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": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1285186445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 BIG TIMBER DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636407805",
            "telephone_number": "573-579-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 HILLCREST ST",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636281421",
            "telephone_number": "573-431-3300",
            "fax_number": "573-358-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANN",
        "first_name": "SUSAN",
        "credential": "CFY-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2016023490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Bonne Terre, MO
• Providers in Bonne Terre, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.