Suzanne P Mowry, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP3463 Issued in ME

Practice address

6 Telcom Dr
Bangor, ME 04401-3072

Phone

(207) 941-2850

Fax

(207) 941-2852

NPI assigned

Sep 21, 2006

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 1

Other names 1

• Suzanne Patricia Ingalls Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Accelecare Wound Professionals of South Carolina, PC

  • Family Medicine Physician
  • Bellevue, WA
  • NPI 1225387335
  NPD (past)
• NHC Healthcare-Parklane LLC

  • Skilled Nursing Facility
  • Columbia, SC
  • NPI 1376580936
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1295833200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1599",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044021599",
            "telephone_number": "207-404-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TELCOM DR",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013072",
            "telephone_number": "207-941-2850",
            "fax_number": "207-941-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWRY",
        "first_name": "SUZANNE",
        "middle_name": "P",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP3463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3953",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "INGALLS",
            "middle_name": "PATRICIA",
            "credential": "M.SC., S-LP(C)",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Polly Moutevelis-Burgess, LCPC, LMFT
• Mayur Movalia, M.D.
• Moving Forward Mental Health Services
• Amy J Movius, MD
• Picabo-Siera M Mower, LCSW
• Brian Moynihan, LCPC
• Mary Therese Moynihan, LCSW
• Paula Louise Mroz, RNC
• Judith Muhlin, LCSW
• Ian Mukand-Cerro, M.D.

• Speech-Language Pathologist in Bangor, ME
• Providers in Bangor, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.