Susanna Taha, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#871 Issued in AR

Practice address

533 N Blue Jay LN
Fayetteville, AR 72704-8426

Phone

(479) 444-7882

Fax

(479) 444-7782

NPI assigned

Aug 23, 2010

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

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fusion Therapy Center, LLC

  • Speech-Language Pathologist
  • Bentonville, AR
  • NPI 1801552435
  NPD
• Carr Therapies LLS

  • Speech-Language Pathologist
  • Fayetteville, AR
  • NPI 1215945175
  NPD (past)

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1639485139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 906",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727300906",
            "telephone_number": "479-601-4788",
            "fax_number": "479-444-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 N BLUE JAY LN",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727048426",
            "telephone_number": "479-444-7882",
            "fax_number": "479-444-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHA",
        "first_name": "SUSANNA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James S. Swindle, M.D.
• Willliam F Symes Jr., M.DIV.,LPC
• Synchronicity Group, LLC
• Jewel Tabron
• Kathryn Tackett
• Kota Takahashi
• Hanna Talburt
• Tammy BS PLLC
• Melissa Shiew-Wen Tan
• Maggie Tang, M.D.

• Speech-Language Pathologist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.