Susan Van Wyck Pope Chandler, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146005323 Issued in IL

Practice address

2304 Running Brook Dr
Greensboro, NC 27408-2826

Phone

(773) 251-4117

NPI assigned

Jan 9, 2007

Last updated

Nov 9, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 Arts

State licenses

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415491200000",
    "number": "1952450033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 RUNNING BROOK DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082826",
            "telephone_number": "773-251-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 RUNNING BROOK DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082826",
            "telephone_number": "773-251-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "SUSAN",
        "middle_name": "VAN WYCK POPE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2014-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146005323",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "11100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin William Chandler, M.D.
• Lauren Elizabeth Chandler
• Loraine Garritano Chandler, CRNA
• Nicole Lynn Chandler, M.D.
• Sheri C Chandler, NNP-BC
• Rebecca Jane Chaney, CNA
• Vernon Lee Chaney Jr.
• Jeffrey Chang, M.D.
• Joe C. Chang, PA-C, L.AC
• Change Point Consultants, PLLC

• Speech-Language Pathologist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2014; 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.