Susan Bleck

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 3782 Issued in OH

Practice address

6451 Center St
Mentor, OH 44060-4109

Phone

(440) 257-9863

NPI assigned

Feb 11, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1437573490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 CENTER ST",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604109",
            "telephone_number": "440-257-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 CENTER ST",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604109",
            "telephone_number": "440-257-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLECK",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP 3782",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "CL1009904",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPARTMENT OF EDUCATION",
            "identifier": "CL1009904",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF SPEECH PATHOLOGY AND AUDIOLOGY",
            "identifier": "SP 3782",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber N Blackston-Balogh, MSSA, LSW
• Heather Marie Blair, R.PH.
• Christine Blake
• Juliana Blanch, OTR/L
• Janet May Blanchard, M.D.
• Alyssa Nicole Bledsoe, APRN-CNM
• Dana Elana Blocker, MSW
• Joyce Anne Bloom, LPN
• Emily Brooke Bloyd
• Bluejay Counseling & Art Therapy LLC

• Speech-Language Pathologist in Mentor, OH
• Providers in Mentor, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.