Active NPI
Speech Language and Auditory Learning
- Speech-Language Pathologist
- Tyler, TX
National Provider Identifier
1609080613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11594
- Legal business name
- SPEECH LANGUAGE AND AUDITORY LEARNING
- Practice address
- 5528 Old Bullard Rd
Suite 103
Tyler, TX 75703-4362 - Phone
- (903) 581-5421
- Fax
- (903) 581-4515
- NPI assigned
- May 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Suzanne Herman, M. ED., CCC-SLP
- Title
- Speech Pathologist
- Phone
- (903) 581-5421
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 11594 | TX | Primary |
Addresses
Primary practice location
5528 Old Bullard Rd
Suite 103
Tyler, TX 75703-4362
Mailing address
5528 Old Bullard Rd
Suite 103
Tyler, TX 75703-4362
Phone (903) 581-5421
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005616001 | Medicaid | TX | |
| 0072EL | Other | TX | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
5528 Old Bullard Rd
Ste 103
Tyler, TX 75703
Phone (903) 581-5421
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Tyler, TX
- NPI 1467579797
-
- Speech-Language Pathologist
- Tyler, TX
- NPI 1699785907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215043200000",
"number": "1609080613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5528 OLD BULLARD RD",
"address_2": "SUITE 103",
"city": "TYLER",
"state": "TX",
"postal_code": "757034362",
"telephone_number": "903-581-5421",
"fax_number": "903-581-4515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5528 OLD BULLARD RD",
"address_2": "SUITE 103",
"city": "TYLER",
"state": "TX",
"postal_code": "757034362",
"telephone_number": "903-581-5421",
"fax_number": "903-581-4515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEECH LANGUAGE AND AUDITORY LEARNING",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2008-07-03",
"status": "A",
"authorized_official_last_name": "HERMAN",
"authorized_official_first_name": "SUZANNE",
"authorized_official_title_or_position": "SPEECH PATHOLOGIST",
"authorized_official_telephone_number": "903-581-5421",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M. ED., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "11594",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005616001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0072EL",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
- Special Health Resources for Texas Incorporated
- Special Health Resources for Texas, Incorporated
- Special Health Resources for Texas, Incorporated
- Special Needs Solutions, LLC
- Specialty Hospital, LLC
- Speech Swallowing and Neurological Rehabilitation PLLC
- Speech, Language, & Auditory Learning, PLLC
- Speed of Light Ultrasound, LLC
- Speed of Light Xray, LLC
- Teresa G. Speer
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.