Susan Lichtenstein

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

00959 Issued in MD

Practice address

200 East North Avenue
Related Services Room 210
Baltimore, MD 21202

Phone

(443) 642-4204

NPI assigned

Jun 7, 2019

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

Electronic endpoints 1

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": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1871152454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 IRONWOOD CIR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EAST NORTH AVENUE",
            "address_2": "RELATED SERVICES ROOM 210",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21202",
            "telephone_number": "443-642-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHTENSTEIN",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "00959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slichtenstein@bcps.k12.md.us",
            "affiliation": "N",
            "address_1": "200 East North Avenue",
            "address_2": "Related Services Room 210",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "21202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carmen Susanne Licavoli, MSN, APRN-BC
• Denise Lichaa, R.D., L.D.N.
• Richard Lichenstein, M.D.
• Sarah Beth Lichenstein
• Esther M Lichtenstein
• David Lichtman, P.A.
• Glenn H Lichtman, RPH
• Jennifer Lauren Lichtman, BCBA
• Robert Patrick Liddell, M.D.
• Alexandra Liddy

• Speech-Language Pathologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.