Suzanne Brady Gulick
Individual provider Active NPI Speech-Language Pathologist · Monahans, TX
NPI 1407196017 · NPPES record last updated Feb 19, 2013
Key facts
- NPI
- 1407196017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 15431 (TX)
- Practice address
- 1200 W 15TH St
Monahans, TX 79756-8301 - Phone
- (432) 943-2741
- NPI assigned
- Feb 19, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15431 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 15431 | TX | Yes |
Addresses
Primary practice location
1200 W 15TH St
Monahans, TX 79756-8301
Mailing address
5609 Highland Blvd
Midland, TX 79707-5014
Other providers in Monahans, TX
- Fpacp Monahans LLC
- Tanya Galindo
- Victoria Garcia
- Jessica Lanae Goble
- Susan Alaine Goforth
- Helen Haley
- Donald L. Hubbard
- Mario Juarez Jr.
- Omoshola Benardinah Kehinde
- Kids Dentistree of Abbeville - Odessa, PLLC
All providers in Monahans, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2013. 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.