Susan Jane Stauber, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

011001-1 Issued in NY

Practice address

750 Maiden LN
Rochester, NY 14615-1230

Phone

(585) 966-5200

NPI assigned

Sep 12, 2011

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

State licenses

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1760764237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MAIDEN LN",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146151230",
            "telephone_number": "585-966-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MAIDEN LN",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146151230",
            "telephone_number": "585-966-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUBER",
        "first_name": "SUSAN",
        "middle_name": "JANE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011001-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Statt
• Teresa Ann Statt, MED.
• William A Statt, PT
• Kayla Anne Staub
• Andrew John Stauber, PHARM.D.
• Greta Staubly, PHARMD
• David William Staudt, MD
• Lindsay M Staundinger, LPN
• Megan Ashley Stavalone, D.C.
• Christopher Stavisky

• Speech-Language Pathologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.