Susan Williams Stanley, MS, CCC, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14448 Issued in TX

Practice address

1315 Walnut St
Texarkana, TX 75501-4446

Phone

(903) 794-2705

Fax

(903) 793-1203

NPI assigned

Nov 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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.

• Temple Memorial Pediatric Center Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Texarkana, TX
  • NPI 1972654663
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1700956166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LADERA DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031805",
            "telephone_number": "903-793-5606",
            "fax_number": "903-793-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 WALNUT ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755014446",
            "telephone_number": "903-794-2705",
            "fax_number": "903-793-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "SUSAN",
        "middle_name": "WILLIAMS",
        "name_prefix": "Ms.",
        "credential": "MS, CCC, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "14448",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP494",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BCBS",
            "identifier": "98946",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFICATION",
            "identifier": "01070105",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BCBS",
            "identifier": "80093T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kurt E Springmann, MD
• Bryan Spruill, PA
• Lee R. Staats, LPC-I
• Carey Robert Stanley, OT
• Rachel Leah Stanley, FNP-C
• Timothy D Stanley, MSLPE
• Brittany Stanton
• Angela Staples, LMT
• Sonya Prince Stark, FNP-C
• Callie Elizabeth Starks, M.S., LPC-I

• Speech-Language Pathologist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.