Susan E Hupper
Individual provider Active NPI Speech-Language Pathologist · Wright City, MO
NPI 1881810786 · NPPES record last updated Oct 11, 2022
Key facts
- NPI
- 1881810786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 0371250 (MO)
- Practice address
- 80 Bell Rd
Wright City, MO 63390-3202 - Phone
- (636) 791-2150
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0371250 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0371250 | MO | Yes |
Addresses
Primary practice location
80 Bell Rd
Wright City, MO 63390-3202
Mailing address
80 Bell Rd
Wright City, MO 63390-3202
Phone (636) 791-2150
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881810786 | Medicaid | MO | |
| 468867809 | Medicaid | MO |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | computer | Direct |
Other providers in Wright City, MO
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- Grace Chiropractic and Holistic Health, LLC
- Marcel E Haulard
- Angela Hess
- Carol L Hohenstreet
- Hannah Kendall
- Linda Sue Kettmann
- Amber B Klemp
- Manuel Largaespada
- Rachel Lee
All providers in Wright City, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.