Susan Adams Thurman

Individual provider Active NPI Speech-Language Pathologist · Broxton, GA

NPI 1780124552 · NPPES record last updated Feb 27, 2017

Key facts

NPI
1780124552
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLP003751 (GA)
Practice address
185 Thurman Rd
Broxton, GA 31519-3713
Phone
(912) 359-2268
NPI assigned
Feb 27, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Susan a Thurman Speech-Language Pathologist Past
since Feb 9, 2017
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP003751 GA Yes

Addresses

Primary practice location

185 Thurman Rd
Broxton, GA 31519-3713

Mailing address

185 Thurman Rd
Broxton, GA 31519-3713
Phone (912) 359-2268

Other providers in Broxton, GA

All providers in Broxton, GA · Speech-Language Pathologist in Georgia

Sources for this page

Verify at the official NPI Registry.