MRS. SUSAN TAYLOR WALLACE (NPI# 1366646457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366646457 |
Entity Type | Individual |
Full Name | MRS. SUSAN TAYLOR WALLACE |
Practice Address |
3409 Connection Dr Fayetteville NC 28311-0151 |
Mailing Address |
3409 Connection Rd Fayetteville NC 28311-0151 |
Practice Telephone | 9103094089 |
Practice Fax Number | 9104881816 |
Mailing Telephone | 9108221318 |
Mailing Fax Number | 9104881816 |
Enumeration Date | 2007-06-12 |
Last Update Date | 2013-06-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | 2112 | NC | Speech, Language and Hearing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477910792 | Susan Anne Wallace | Licensed Practical Nurse | 44 Beechwood Dr, Manorville, NY 11949-2947 | 2016-01-16 |
1376842732 | Susan Elizabeth Wallace | Dietitian, Registered | 102 Carran Dr, Lakeside Park, KY 41017-2233 | 2011-03-23 |
1598904427 | Susan Leigh Wallace | Specialist | 103 Windwood Rd, North Syracuse, NY 13212-1956 | 2009-02-17 |
1952426025 | Susan Wallace | Acupuncturist | 1009 Solano Ave, # A, Albany, CA 94706-1617 | 2007-03-20 |
1447375662 | Susan D. Wallace | Counselor | 166 Pawtucket Avenue, Pawtucket, RI 02860-3811 | 2007-03-20 |
1639554769 | Susan Wallace | Physical Therapist | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2015-07-30 |
1740537687 | Susan R Wallace | Nurse Practitioner | 100 Methodist Blvd, Hattiesburg, MS 39402-1295 | 2012-08-09 |
1710247812 | Susan Victoria Wallace | Marriage & Family Therapist | 9685 Hayes St, Riverside, CA 92503-3660 | 2012-05-22 |
1427203462 | Susan Marie Wallace | Occupational Therapist | 355 Oak Grove Rd, Spartanburg, SC 29301-2537 | 2008-11-18 |
1194985887 | Susan Jean Wallace | Registered Nurse | E Hwy 18, Pine Ridge, SD 57770-1201 | 2008-06-16 |
Street Address |
3409 CONNECTION DR |
City | FAYETTEVILLE |
State | NC |
Zip Code | 28311-0151 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700415205 | Marcella Eubanks | Physical Therapy Assistant | Rdl Therapeutic Outpatient Therapy, 424 Mcarthur Rd, Fayetteville, NC 28311 | 2020-04-06 |
1144856709 | Laura Johnson | Occupational Therapy Assistant | 424 Mcarthur Rd., Fayetteville, NC 28311 | 2020-03-16 |
1326507096 | Senior Transportationl.l.c. | Private Vehicle | 164 Tallstone Dr, Fayetteville, NC 28311 | 2019-03-13 |
1154850998 | Shannon Marcella Chapman | Physical Therapist | 4140 Ramsey St Ste 110, Fayetteville, NC 28311 | 2017-06-06 |
1306392048 | Gena Oxendine | Counselor | 223 Glenola St, Fayetteville, NC 28311 | 2016-09-01 |
1023564010 | Rachel Sokolowski | Physical Therapy Assistant | 231 Treetop Dr., Fayetteville, NC 28311 | 2016-08-30 |
1285984765 | Towanaka Yvette Bass | Home Health Aide | 5688 Dobson Drive, Fayetteville, NC 28311 | 2012-09-12 |
1255574448 | Amy E. Southworth | Occupational Therapist | 3409 Connection Rd, Fayetteville, NC 28311 | 2009-04-17 |
1922246818 | Calhoun Family Pharmacy Inc | Pharmacy | 4417 Ramsey Street, Fayetteville, NC 28311 | 2009-01-30 |
1003051210 | Us Army | Clinic/Center | 5587 Lockridge Road, Fayetteville, NC 28311 | 2008-12-03 |
Find all providers in zip 28311 |
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 |
---|---|---|---|---|
1033720297 | Madeleine Caroline Montoya | Speech-Language Pathologist | 1830 Owen Dr Ste 103, Fayetteville, NC 28304-3412 | 2020-08-12 |
1215548623 | Jasmine Nicole Nile | Speech-Language Pathologist | 106 S Duncan Ave, Fayetteville, AR 72701-5631 | 2020-08-11 |
1669096764 | Babbling Bunch Speech Therapy LLC | Speech-Language Pathologist | 145 Pepperdine Way, Fayetteville, GA 30214-3666 | 2020-06-04 |
1598387037 | Anne-ashley Hull | Speech-Language Pathologist | 12905 Randolph Road, Fayetteville, AR 72704 | 2020-05-07 |
1801436597 | Ruhee Keshwani | Speech-Language Pathologist | 1343 N Leverett Ave Apt 9, Fayetteville, AR 72703-1756 | 2020-01-09 |
1265080121 | Tempest Olivia Baker | Speech-Language Pathologist | 351 Wagoner Dr Ste 341, Fayetteville, NC 28303-4671 | 2019-09-03 |
1407403991 | Jennifer Nicole Gunderson | Speech-Language Pathologist | Bayada, 3419a Melrose Rd., Fayetteville, NC 28306-2830 | 2019-08-20 |
1275191769 | Lindsay Denise Richards | Speech-Language Pathologist | 3162 W Martin Luther King Blvd Ste 4, Fayetteville, AR 72704-7679 | 2019-05-30 |
1285290353 | Affinity Therapy Services | Speech-Language Pathologist | 2755 Bardolino Dr, Fayetteville, NC 28306-4635 | 2019-05-14 |
1942766829 | Speech Within Reach | Speech-Language Pathologist | 5594 Linkwood Dr, Fayetteville, NC 28311-0289 | 2019-02-15 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 28311 |
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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.