Cynthia J. Sutherland, SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146004335 Issued in IL

Practice address

1606 Hunt Dr
Spice
Normal, IL 61761-2192

Phone

(309) 452-0069

Fax

(309) 451-8989

NPI assigned

Mar 18, 2009

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

State licenses

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1790926871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N EAST ST",
            "city": "HUDSON",
            "state": "IL",
            "postal_code": "617489428",
            "telephone_number": "309-726-1645",
            "fax_number": "309-451-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 HUNT DR",
            "address_2": "SPICE",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617612192",
            "telephone_number": "309-452-0069",
            "fax_number": "309-451-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "CYNTHIA",
        "middle_name": "J.",
        "credential": "SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146004335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dodi Suhari, CRNA
• Stephanie Sullivan, M.D.
• Sulaiman Sultan, M.D.
• Jamie Kaye Summers, DNP, NNP
• Shawna Summers
• Susan J Svientek, M.D.
• Mark Edward Swerdlik, PH.D.
• Swia, LLC
• Brent Sylvester, PH.D.
• Jayul Tailor, MD

• Speech-Language Pathologist in Normal, IL
• Providers in Normal, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.