Holly Ann Suszek, MS,CCC,SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2858154 Issued in WI

Practice address

960 S Rapids Rd
Manitowoc, WI 54220-4146

Phone

(920) 684-1144

NPI assigned

May 10, 2007

Last updated

Apr 21, 2015By 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

Other identifiers 1

Other names 1

• Miss Holly Ann Rusch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1669686531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 WILDWOOD DR",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202357",
            "telephone_number": "608-215-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 S RAPIDS RD",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204146",
            "telephone_number": "920-684-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSZEK",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS,CCC,SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2858154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42581400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "RUSCH",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "MS,CCC,SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gina A Strzyzewski
• Christopher Joseph Suess, OTR
• Cathy M Sukowaty, APNP, MSN, BSN
• Amy Kate Summers, OTR
• Summit Clinical Services LLC
• Keith Swanson
• Vladimir N Swerchowsky, MD
• Alisa Swifka, COTA
• Natasha Tiajean Tang, PHARMD
• Teresa Tanguay, SLP

• Speech-Language Pathologist in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.