Susan Harriet Eisen, M.ED.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 635 Issued in FL

Practice address

6700 NW 10TH PL
Gainesville, FL 32605-4213

Phone

(352) 331-3111

NPI assigned

Sep 16, 2012

Last updated

Sep 16, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1347753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347753600000",
    "number": "1821348921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1224",
            "city": "HAWTHORNE",
            "state": "FL",
            "postal_code": "326401224",
            "telephone_number": "352-481-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 NW 10TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054213",
            "telephone_number": "352-331-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISEN",
        "first_name": "SUSAN",
        "middle_name": "HARRIET",
        "name_prefix": "Ms.",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-16",
        "last_updated": "2012-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 635",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "5818",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenifer Eimmerman, D.O.
• Einstein Therapy Center, Inc.
• Einstein Therapy Center, Inc. (Fundamental Therapy Solutions)
• Einstein Therapy Center, Inc.
• Einstein Therapy Center, Inc.
• Stephan Eisenschenk, MD
• Nelly Eisenstark
• Donald V Eitzman, MD
• Oluwadamilola Ejike, MD
• Beryl Uzoamaka Ekakitie

• Speech-Language Pathologist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2012; 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.