Susan Carney
Individual provider Active NPI Speech-Language Pathologist · Poland, OH
NPI 1902221963 · NPPES record last updated Feb 27, 2014
Key facts
- NPI
- 1902221963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP7034 (OH)
- Practice address
- 3156 Chardonnay LN
Poland, OH 44514-5822 - Phone
- (330) 540-3156
- NPI assigned
- Feb 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| SP7034 | OH | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP7034 | OH | Yes |
Addresses
Primary practice location
3156 Chardonnay LN
Poland, OH 44514-5822
Mailing address
3156 Chardonnay LN
Poland, OH 44514-5822
Phone (330) 540-3156
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP7034 | Medicaid | OH |
Other providers in Poland, OH
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All providers in Poland, OH · Speech-Language Pathologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2014. 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.