Mary Elizabeth Cusic, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SI00004671 Issued in WA

Practice address

1871 NW Gilman Blvd Ste 2
Issaquah, WA 98027-8116

Phone

(425) 657-0620

NPI assigned

Jun 17, 2008

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1740441260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 NW GILMAN BLVD STE 2",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278116",
            "telephone_number": "425-657-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 NW GILMAN BLVD STE 2",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278116",
            "telephone_number": "425-657-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSIC",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SI00004671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen M Crosley, ARNP
• Alexander B Cruz, LMHCA, MHP, CDPT
• Hailan Cui
• Regina Marie Curfman Caruso, OTR/L
• Daniela Curto
• Robin D.S. Custer, MSW, LICSW
• Josie Lynn Cutts, LMP
• D Nguyen, DDS, PS
• Leanne Day Dahlin, MSW
• Christopher Robert Dale, MD

• Speech-Language Pathologist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.