Individual provider Active NPI

Susan D. Palladino, MA,CCC,SLP

  • Speech-Language Pathologist
  • Bethel Park, PA
National Provider Identifier
1629365481
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL002484L Issued in PA
Practice address
1500 Oxford Dr Ste 10
Bethel Park, PA 15102-1837
Phone
(412) 692-3440
Fax
(412) 851-1750
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL002484L PA Primary

Addresses

Primary practice location

1500 Oxford Dr Ste 10
Bethel Park, PA 15102-1837

Mailing address

1500 Oxford Dr Ste 10
Bethel Park, PA 15102-1837
Phone (412) 692-3440

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SL002484LPAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1629365481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 OXFORD DR STE 10",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021837",
            "telephone_number": "412-692-3440",
            "fax_number": "412-851-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OXFORD DR STE 10",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021837",
            "telephone_number": "412-692-3440",
            "fax_number": "412-851-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLADINO",
        "first_name": "SUSAN",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "MA,CCC,SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL002484L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.