Susan Lynn Bognar, SPEECH PATHOLOGIST
Individual provider Active NPI Speech-Language Pathologist · Grand Island, NY
NPI 1760639595 · NPPES record last updated Aug 22, 2008
Key facts
- NPI
- 1760639595
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 013509 (NY)
- Practice address
- 2101 Fix Rd
Grand Island, NY 14072-2547 - Phone
- (716) 570-8960
- NPI assigned
- Aug 22, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013509 | NY | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 013509 | NY | Yes |
Addresses
Primary practice location
2101 Fix Rd
Grand Island, NY 14072-2547
Mailing address
2101 Fix Rd
Grand Island, NY 14072-2547
Phone (716) 570-8960
Other providers in Grand Island, NY
- Joshua Billica
- Beverly Bishop
- David Scott Blankenberg
- Maura Margaret Bobak
- Bodyworksolutions LLC
- Meaghan Allyce Bolger
- Carol Anne Borelli
- Krista Boyler
- Kevin Joseph Brandon
- Breanna Claire Brodsky
All providers in Grand Island, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.