MS. SUSAN CORCORAN (NPI# 1063554707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063554707 |
| Entity Type | Individual |
| Full Name | MS. SUSAN CORCORAN |
| Credential | MA-CCC-SP |
| Practice Address |
439 Hamilton Meadows Dr Fenton MO 63026-3986 |
| Practice Telephone | 6363499180 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 01971 | MO | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902863467 | Susan A Corcoran | Advanced Practice Midwife | 21358 Highway 99e Ne, Aurora, OR 97002-9201 | 2006-04-27 |
| 1982062899 | Susan Corcoran | Pharmacist | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2016-02-05 |
| 1831218023 | Susan Eades Corcoran | Counselor | 300 Mercer St, Ste. 3l, New York, NY 10003-6724 | 2007-03-28 |
| 1265523450 | Susan Klimas Corcoran | Occupational Therapist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2006-09-27 |
| Street Address |
439 HAMILTON MEADOWS DR |
| City | FENTON |
| State | MO |
| Zip Code | 63026-3986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| Find all providers in zip 63026 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538707021 | Grace Hildensperger | Speech-Language Pathologist | 14333 Swanee Beach Dr, Fenton, MI 48430-1463 | 2019-12-15 |
| 1285280164 | Emily Clare Bush | Speech-Language Pathologist | 545 Edgewood Pass, Fenton, MI 48430-3012 | 2019-08-15 |
| 1730679408 | Tara Nicole Glore | Speech-Language Pathologist | 400 13th St, Fenton, MO 63026-5562 | 2018-05-17 |
| 1962860411 | Lyndsay Caldwell | Speech-Language Pathologist | 640 Shoreline Dr, Fenton, MI 48430-4154 | 2016-01-29 |
| 1881085165 | Tasha Linnea Vaara-suydam | Speech-Language Pathologist | 113 River Street, Fenton, MI 48430-2697 | 2015-02-09 |
| 1447662259 | Jennifer Justice | Speech-Language Pathologist | 10449 Carmer Rd, Fenton, MI 48430-2409 | 2014-05-28 |
| 1811218985 | James Edwin Hanny | Speech-Language Pathologist | 1120 Konert Valley Dr, Fenton, MO 63026-7172 | 2010-06-11 |
| 1871718593 | Julia K Holzhausen | Speech-Language Pathologist | 1664 Ivy Chase Lane, Fenton, MO 63026 | 2007-04-16 |
| 1053457671 | Katherine A. Blackburn | Speech-Language Pathologist | 1275 Fenton Meadow Ct, Fenton, MO 63026-2309 | 2007-01-30 |
| 1215082326 | Rosemarie Fischer | Speech-Language Pathologist | 242 Avalon Hills Dr, Fenton, MO 63026-2696 | 2007-01-25 |
| Find all providers in FENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.