Suzanne R. Igdalsky, M.S. CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL006188L Issued in PA

Practice address

1510 Al Unser Road
Long Pond, PA 18334-0041

Phone

(570) 656-2062

Fax

(570) 643-2867

NPI assigned

May 5, 2008

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)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Sunshine Therapeutic Services LLC

  • Early Intervention Provider Agency
  • Blakeslee, PA
  • NPI 1740943760
  NPD Authorized official
• Sunshine Therapeutic Services

  • Early Intervention Provider Agency
  • Long Pond, PA
  • NPI 1720252448
  NPD (past) Authorized official

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1699941278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 AL UNSER ROAD",
            "address_2": "P.O. BOX # 41",
            "city": "LONG POND",
            "state": "PA",
            "postal_code": "183340041",
            "telephone_number": "570-656-2062",
            "fax_number": "570-643-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 AL UNSER ROAD",
            "city": "LONG POND",
            "state": "PA",
            "postal_code": "183340041",
            "telephone_number": "570-656-2062",
            "fax_number": "570-643-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGDALSKY",
        "first_name": "SUZANNE",
        "middle_name": "R.",
        "credential": "M.S. CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL006188L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Brun Coquillon
• Dash Resources
• Julia A Johnson
• Janet Price
• Sunshine Therapeutic Services
• Tree of Hope Home Health Agency LLC
• Cheryl White-Grier Dukes, LMSW

• Speech-Language Pathologist in Long Pond, PA
• Providers in Long Pond, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.

Verify at the official NPI Registry.