SUSAN M ROTH (NPI# 1619045994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619045994 |
| Entity Type | Individual |
| Full Name | SUSAN M ROTH |
| Credential | SLP |
| Practice Address |
1931 Black Rock Tpke Fairfield CT 06825-3506 |
| Mailing Address |
2900 Main St Suite 1d Stratford CT 06614-4946 |
| Practice Telephone | 2033848681 |
| Practice Fax Number | 2033840722 |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 001931 | CT | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265670186 | Susan Roth | Speech-Language Pathologist | 114 West 86th Street, 8c, New York City, NY 10024-4062 | 2009-01-30 |
| 1497776975 | Susan Roth | Psychologist | 744 Mountain Blvd, Watchung, NJ 07069-6297 | 2006-07-21 |
| 1174518476 | Susan S Roth | Social Worker | 3107 N Peary St, Arlington, VA 22207-5355 | 2005-09-13 |
| 1578701926 | Susan Roth | Social Worker | 1 Federation Way, Suite 220, Irvine, CA 92603-0173 | 2009-01-22 |
| 1669652236 | Susan C Roth | Registered Nurse | 410 Glenn Ave, Suite 200, Bloomsburg, PA 17815-1200 | 2007-11-12 |
| 1063587624 | Susan Amy Roth | Pediatrics | 1000 Central St, Suite 765, Evanston, IL 60201-1777 | 2006-11-21 |
| 1730278151 | Susan Marie Roth | Counselor | 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 | 2006-10-12 |
| 1124054465 | Susan B Roth | Radiology | 3400 Spruce St, Ground Floor Dulles, Philadelphia, PA 19104 | 2006-06-25 |
| 1144274267 | Susan R Roth | Audiologist | 4302 Alton Rd., Suite 650, Miami Beach, FL 33140 | 2006-05-22 |
| Street Address |
1931 BLACK ROCK TPKE |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659347300 | Rehabilitation Associates, Inc. | Rehabilitation Practitioner | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2006-02-23 |
| 1801428925 | Veronica Bun | Occupational Therapist | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2020-02-06 |
| 1801431739 | Ellyn Hardiman | Speech-Language Pathologist | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2019-11-14 |
| 1447891585 | Emily Corrice | Occupational Therapist | 1931 Black Rock Tpke, Fairfield, CT 06825 | 2019-09-30 |
| 1285285577 | Sean Dwyer | Physical Therapist | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2019-09-27 |
| 1841841319 | Mallory Stoecker | Speech-Language Pathologist | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2019-09-25 |
| 1790330892 | Leah O'brien | Speech-Language Pathologist | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2019-08-06 |
| 1417425778 | Kathryn Young | Physical Therapist | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2018-11-05 |
| 1093290348 | Colleen Gomola | Speech-Language Pathologist | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2018-10-02 |
| 1790260123 | Charles Brunckhorst | Physical Therapist | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2018-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376535 | Andrew Kalach | Physical Therapist | 2373 Black Rock Turnpike, Fairfield, CT 06825 | 2020-08-13 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| 1730720145 | L Burke LLC | Marriage & Family Therapist | 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 | 2019-10-07 |
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1497131239 | Alice Z Kelly | Social Worker | 113 Sky Top Drive, Fairfield, CT 06825 | 2015-08-04 |
| 1902218647 | John Feiler | Occupational Therapist | 175 Jefferson St., Fairfield, CT 06825 | 2014-05-29 |
| 1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1538468012 | Barbara Cohen | Occupational Therapist | 175 Jefferson Street, Fairfield, CT 06825 | 2011-03-23 |
| Find all providers in zip 06825 | ||||
| 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 |
|---|---|---|---|---|
| 1972119253 | Katie Liston | Speech-Language Pathologist | 1804 County Road 445 N, Fairfield, IL 62837-2973 | 2020-09-22 |
| 1235750621 | Alyson Samson | Speech-Language Pathologist | 3406 Waterbury Way, Fairfield, CA 94534-2940 | 2020-04-27 |
| 1215557541 | Taylor Made Speech Pathology Services | Speech-Language Pathologist | 1234 Empire St Ste 1450, Fairfield, CA 94533-5711 | 2020-04-16 |
| 1326673062 | Jobin Manuel | Speech-Language Pathologist | 1233 Swan Lake Dr, Fairfield, CA 94533-8137 | 2020-03-03 |
| 1376175315 | Sarah Jo Chaney | Speech-Language Pathologist | 402 W Burlington Ave, Ste 200, Fairfield, IA 52556 | 2020-02-07 |
| 1225669856 | Kashala Smith-tavaris | Speech-Language Pathologist | 60 Katona Dr Ste 24, Fairfield, CT 06824-3544 | 2020-02-02 |
| 1942766704 | Colleen Marie Osorio Hernandez | Speech-Language Pathologist | 50 Potters Ln, Fairfield, CT 06824-3113 | 2019-02-18 |
| 1346704269 | Laura Dodd | Speech-Language Pathologist | 3700 Lyon Rd Apt 86, Fairfield, CA 94534-7980 | 2019-01-24 |
| 1053807628 | Kaitlyn Boorin | Speech-Language Pathologist | 55 Walls Dr Ste 204, Fairfield, CT 06824-5163 | 2018-07-07 |
| 1639672264 | Haley Madison Hull | Speech-Language Pathologist | 5184 Gordon Valley Rd, Fairfield, CA 94534-9753 | 2018-03-09 |
| Find all providers in FAIRFIELD | ||||
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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.