Sue Carolyn Berger, MS.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

01287 Issued in MO

Practice address

North Highway 5, Farm Road 512
Ava, MO 65608

Phone

(417) 683-6421

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

No

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, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487701033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORTH HIGHWAY 5, FARM ROAD 512",
            "address_2": "P.O. BOX 1284",
            "city": "AVA",
            "state": "MO",
            "postal_code": "65608",
            "telephone_number": "417-683-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTH HIGHWAY 5, FARM ROAD 512",
            "city": "AVA",
            "state": "MO",
            "postal_code": "65608",
            "telephone_number": "417-683-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "SUE",
        "middle_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "credential": "MS.CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "01287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mylene Baguio, RPT
• Quirino Baguio, R.P.T.
• Michael David Ball, DO
• Rachel Barry, RD LDN
• Patricia Michelle Bass, PLPC
• Anna Bowden, DDS
• Alan Butler
• Kory Aaron Charpentier, PHARM. D.
• Mou Shyong Chern, M.D.
• Chelsea Cloven

• All providers in Ava, MO
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.