Laurie Sudbury, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

100665 Issued in TX

Practice address

4407 Irvin Simmons Dr
Dallas, TX 75229-4248

Phone

(214) 514-1472

NPI assigned

Apr 3, 2022

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

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

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648944000000",
    "number": "1770224909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 IRVIN SIMMONS DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752294248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 IRVIN SIMMONS DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752294248",
            "telephone_number": "214-514-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDBURY",
        "first_name": "LAURIE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-03",
        "last_updated": "2022-04-03",
        "certification_date": "2022-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suriya Subramanian, MD
• Vinayak Subramanian, MD
• Subtenant 3611 Dickason Avenue, LLC
• Daniel Joseph Sucato, MD MS
• Sucessful Learning Strategies
• Brittany G Sudderth, MS, LMFT
• Rhea Sudhakaran
• Ritu Sudhakaran
• Sue Ann Sanford, O.D.,P.a.
• Anna Suessman, D.O.

• Speech-Language Pathologist in Dallas, TX
• Providers in Dallas, 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 Apr 3, 2022; 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.