Suzanne D Bledsoe, MS CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · El Dorado, AR
NPI 1386868396 · NPPES record last updated May 16, 2008
Key facts
- NPI
- 1386868396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1823 (AR)
- Practice address
- 214 Hope Landing Rd
El Dorado, AR 71730-8725 - Phone
- (870) 862-0500
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1823 | AR | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Landing, Inc. | Past | Accepting new patients | |
| Hope Landing, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1823 | AR | Yes |
Addresses
Primary practice location
214 Hope Landing Rd
El Dorado, AR 71730-8725
Mailing address
11985 Haynesville Hwy
Junction City, AR 71749-8923
Phone (870) 599-9060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152474721 | Medicaid | AR |
Other providers in El Dorado, AR
- Joyce Jones Bennett
- Gary Lloyd Bevill
- Dana Marie Bibby
- Karen Birchfield
- Amber Lynn Bishop
- BLM Co. Inc.
- John Gregory Booker
- Miesha Boone
- Melissa Ann Bosco
- Chelsea Jo Bounds
All providers in El Dorado, AR · Speech-Language Pathologist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2008. 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.