Susan Rene Meyer, CCC,SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5710 Issued in MN

Practice address

615 Becker Ave SW
Willmar, MN 56201-3233

Phone

(320) 214-7011

NPI assigned

Jan 22, 2008

Last updated

Jan 22, 2008By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Reading Therapy Center Inc

  • Speech-Language Pathologist
  • Moorhead, MN
  • NPI 1689829806
  NPD Authorized official

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1962689885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 BECKER AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013233",
            "telephone_number": "320-214-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 BECKER AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013233",
            "telephone_number": "320-214-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "SUSAN",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "CCC,SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "5710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond J Mellema, MD
• Luisa Mendoza
• Isaac Robert Meredith, DT
• John P Merickel, MD
• Lee G Meyer
• MH Health Care Services, PC
• Roni Lee Mickle, LADC
• Midwest Vision Centers Inc (Midwest Vision Centers)
• Valerie Jean Miklos, PCA
• Nadia Delilato Milani, FULL-SPECTRUM DOULA

• Speech-Language Pathologist in Willmar, MN
• Providers in Willmar, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.