Active NPI
Constance Elizabeth Sulc, MA CCC-SLP
- Speech-Language Pathologist
- Youngstown, OH
National Provider Identifier
1497780035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP6975
- Practice address
- 299 Edwards St
Youngstown, OH 44502 - Phone
- (330) 743-1168
- Fax
- (330) 743-1616
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP6975 | OH | Primary |
Addresses
Primary practice location
299 Edwards St
Youngstown, OH 44502
Mailing address
50 Laura Lane
Cortland, OH 44410-1680
Phone (330) 638-5434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0078348 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP6975 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497780035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 LAURA LANE",
"city": "CORTLAND",
"state": "OH",
"postal_code": "444101680",
"telephone_number": "330-638-5434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 EDWARDS ST",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "44502",
"telephone_number": "330-743-1168",
"fax_number": "330-743-1616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULC",
"first_name": "CONSTANCE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "MA CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP6975",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0078348",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- 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.