Sue Jane Keblusek, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00003239 Issued in WA

Practice address

4364 Clyde Rd
Langley, WA 98260-9540

Phone

(360) 221-8355

NPI assigned

Dec 29, 2009

Last updated

Nov 3, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saratoga Speech Therapy LLC

  • Speech-Language Pathologist
  • Langley, WA
  • NPI 1356628457
  Authorized official Same address or phone

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1467782201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4364 CLYDE RD",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982609540",
            "telephone_number": "360-221-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4364 CLYDE RD",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982609540",
            "telephone_number": "360-221-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEBLUSEK",
        "first_name": "SUE",
        "middle_name": "JANE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-29",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Island Center for Complementary Medicine Inc P S
• Gail Suzan Jahnke, MSW
• Judith E Janis
• Judith Janis, M.a.
• Erika E Kardly, LAC
• Julie Marie Keegan, DIPL AC LAC
• Laurie Keith, L.M.P.
• Annastasia Marie Kovscek, M.D.
• Erin Flynn Larson, PHYSICAL THERAPIST A
• Janice Laursen, LMP

• Speech-Language Pathologist in Langley, WA
• Providers in Langley, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.