Susan D. Brooks, M.A., CCC/SLP
Individual provider Active NPI Speech-Language Pathologist · Harvard, MA
NPI 1376709659 · NPPES record last updated Feb 1, 2012
Key facts
- NPI
- 1376709659
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1603 (MA)
- Practice address
- 193 West Bare Hill Rd
Harvard, MA 01451-1627 - Phone
- (978) 456-3130
- NPI assigned
- Aug 5, 2008
- 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 |
|---|---|---|---|
| 1603 | MA | MD | Optician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1603 | MA | Yes |
Addresses
Primary practice location
193 West Bare Hill Rd
Harvard, MA 01451-1627
Mailing address
193 W Bare Hill Rd
Harvard, MA 01451-1627
Phone (978) 456-3130
Other providers in Harvard, MA
- Steven J. Beckman
- Lorrie G Bollinger
- Frances D Booth
- Mary Jo Jo Boynton
- Lisa Claudia Briggs
- Alyssa Christine Brown
- William Brown
- Jennifer Buchholz
- Jonathan Bulger
- Carol S.Savage MD
All providers in Harvard, MA · Speech-Language Pathologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2012. 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.