Susan A. Marshall, M.A., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

00833 Issued in MO

Practice address

10094 Litzsinger Rd
Saint Louis, MO 63124-1132

Phone

(636) 391-9622

Fax

(636) 391-9236

NPI assigned

Jul 2, 2007

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1457558470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15825 MANCHESTER RD",
            "address_2": "SUITE 209",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112263",
            "telephone_number": "636-391-9622",
            "fax_number": "636-391-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10094 LITZSINGER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241132",
            "telephone_number": "636-391-9622",
            "fax_number": "636-391-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "SUSAN",
        "middle_name": "A.",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "00833",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "001124",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333488211",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Marshall, NMT-C
• Meghan Nicole Marshall, CRNA
• Michele Marshall, M.S.W., L.C.S.W.
• Pamela Latonia Marshall, RPH
• Sarah Lyn Marshall, M.S.
• Thomas Blaise Marshall, MD
• Victoria Marshall
• Walter Marshall, LMFT
• Elizabeth Marsicano, M.D.
• Carolyn Gertrude Marteen, RN

• Audiologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Audiologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.