Suzanne Haley, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S0121 Issued in MS

Practice address

423 Ashley Ter
Madison, MS 39110-8349

Phone

(601) 503-5656

NPI assigned

Sep 23, 2009

Last updated

Aug 6, 2024By 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 1

Addresses

Other names 1

• Suzanne H Portera Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mobility Rehab LLC

  • Rehabilitation Clinic/Center
  • Ridgeland, MS
  • NPI 1407376452
  NPD
• Mobility Rehab LLC

  • Rehabilitation Clinic/Center
  • Mobile, AL
  • NPI 1295466670
  NPD

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1861726960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 ASHLEY TER",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108349",
            "telephone_number": "601-503-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 ASHLEY TER",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108349",
            "telephone_number": "601-503-5656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 S Pear Orchard Rd Apt 335",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391575143",
            "country_code": "US",
            "telephone_number": "601-573-9974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALEY",
        "first_name": "SUZANNE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S0121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "PORTERA",
            "middle_name": "H",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lindsey Morgan Groce
• Mark Leslie Grogan
• Larry J Grubbs, LCSW
• Rachel Gunalda
• Michelle Guy, LPC, NCC
• Breda Faye Hall, LPCC
• Gary Lamar Hamil, C F N P, PHD
• Michelle M Hamilton, LPC, NCC, BC-TMH
• Benjamin West Hammond, DPT
• Saima Hanif, MBBS

• Speech-Language Pathologist in Madison, MS
• Providers in Madison, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.