Su-Jen Shie

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP11678 Issued in CA

Practice address

515 Euclid Ave
Duarte, CA 91010-3110

Phone

(909) 576-1081

NPI assigned

Dec 20, 2014

Last updated

Dec 20, 2014By 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

State licenses

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

{
    "created_epoch": "1419033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419033600000",
    "number": "1548668726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 EUCLID AVE",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910103110",
            "telephone_number": "909-576-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 EUCLID AVE",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910103110",
            "telephone_number": "909-576-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIE",
        "first_name": "SU-JEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-20",
        "last_updated": "2014-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP11678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary She, MD
• Lauren Shea, LCSW, MSW, MPH, CHES
• Susan Shehayeb
• Jim K. Shen
• Edna Clogg Shenvi, M.D.
• Kristen Janet Shields, DO
• Mindy Lynn Johanna Shiroma, PPS
• Geoffrey Shouse, D.O., PH.D.
• Aditya V. Shreenivas, MD
• Cassundra Simpson Shukla, NP

• Speech-Language Pathologist in Duarte, CA
• Providers in Duarte, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.