SUSAN DICKSON


Address: 915 Crenshaw Blvd, Los Angeles, CA 90019-1938
Phone: 3239375466

SUSAN DICKSON (NPI# 1740690197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740690197
Entity Type Individual
Full Name SUSAN DICKSON
Practice Address 915 Crenshaw Blvd
Los Angeles
CA 90019-1938
Mailing Address 13900 Panay Way
M115
Marina Del Rey
CA 90292-6173
Practice Telephone 3239375466
Mailing Telephone 5617589944
Enumeration Date 2014-05-06
Last Update Date 2015-01-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 21371 CA Speech, Language and Hearing Service Providers

Other Providers SUSAN DICKSON

NPI Name Taxonomy Address Enumeration
1881813558 Susan Joanne Dickson Registered Nurse 1221 Fulton Mall, Fresno, CA 93721-1915 2007-04-24

Office Location

Street Address 915 CRENSHAW BLVD
City LOS ANGELES
State CA
Zip Code 90019-1938

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891872644 Windsor Gardens Convalescent Hospital, Inc Skilled Nursing Facility 915 Crenshaw Blvd, Los Angeles, CA 90019-1938 2006-11-01
1689239139 Leo Vir Yparraguirre Cabigas Physical Therapy Assistant 915 Crenshaw Blvd, Los Angeles, CA 90019-1938 2019-05-09
1609340967 Ashley S Nam Occupational Therapy Assistant 915 Crenshaw Blvd, Los Angeles, CA 90019-1938 2019-01-18
1700399144 Denita Varghese Physical Therapy Assistant 915 Crenshaw Blvd, Los Angeles, CA 90019-1938 2017-11-08
1144745530 April D Gonzales Occupational Therapy Assistant 915 Crenshaw Blvd, Los Angeles, CA 90019-1938 2017-08-07
1841672748 Stephanie Burks Occupational Therapy Assistant 915 Crenshaw Blvd, Los Angeles, CA 90019-1938 2015-06-26
1679962799 Jonalie Romo Physical Therapy Assistant 915 Crenshaw Blvd, Los Angeles, CA 90019-1938 2015-01-13
1851780159 Celeste Dawn Schipper Physical Therapy Assistant 915 Crenshaw Blvd, Los Angeles, CA 90019-1938 2015-01-10
1356739056 Jimi Jacob Occupational Therapist 915 Crenshaw Blvd, Los Angeles, CA 90019-1938 2015-01-03
1972991651 Diana Distor Valenzuela Occupational Therapy Assistant 915 Crenshaw Blvd, Los Angeles, CA 90019-1938 2015-01-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386299139 Garfield Beach Cvs LLC Durable Medical Equipment & Medical Supplies 1302 South La Brea, Los Angeles, CA 90019 2019-08-08
1104383694 310 Recovery Inc. Clinic/Center 1723 1/2 Hauser Blvd, Los Angeles, CA 90019 2019-02-21
1184131328 Sehyeong Son Acupuncturist 1722 Crenshaw Blvd, Los Angeles, CA 90019 2018-01-09
1285158154 Vanessa A. Myrie Social Worker 5562 Packard St., Los Angeles, CA 90019 2017-08-01
1093241309 Hamburger Home Community/Behavioral Health 4066 W. 17th Street, Los Angeles, CA 90019 2017-05-05
1639614779 Jung Ho Kang Acupuncturist 903 S. Crenshaw Blvd #304a, Los Angeles, CA 90019 2016-12-28
1912353491 Sung Won Lee Acupuncturist 4027 W. Pico Bl., Los Angeles, CA 90019 2016-05-13
1497188528 Sfvcmhc Community/Behavioral Health 5754 San Vicente Blvd, 401, Los Angeles, CALIFORNIA 90019 2013-08-13
1467890160 Denise Breheny Lactation Consultant, Non-RN 1053 Carmona Ave., Los Angeles, CA 90019 2013-06-05
1336483122 Nancy Denise - Latten Davidson Student in an Organized Health Care Education/Training Program 4073-75 West Pico Blvd, Los Angeles, CA 90019 2012-11-16
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770183626 Dina Kamionski Speech-Language Pathologist 10592 Wilkins Ave, Los Angeles, CA 90024-6033 2020-10-29
1780295998 Teadora Taddeo Speech-Language Pathologist 4909 Baltimore St, Los Angeles, CA 90042-2214 2020-08-11
1386254985 Christina Foucault Crowe Speech-Language Pathologist 823 Teakwood Rd, Los Angeles, CA 90049-1329 2020-08-07
1811515273 Cathleen Wynne Speech-Language Pathologist 4310 Finley Ave Apt 6, Los Angeles, CA 90027-2847 2020-07-10
1447878517 Christina Lee Cannon Speech-Language Pathologist 101 S Sycamore Ave Apt 2, Los Angeles, CA 90036-2984 2020-07-06
1811510456 Debra Devorah Smilow Speech-Language Pathologist 222 S Mccadden Pl, Los Angeles, CA 90004-1054 2020-05-18
1811517220 Neil Gordon Murray Speech-Language Pathologist 3480 Barham Blvd Apt 111, Los Angeles, CA 90068-1458 2020-04-26
1306465976 Jill Davidson Speech-Language Pathologist 12516 Sanford St, Los Angeles, CA 90066-6935 2020-04-13
1356960520 Roni Tunick Speech-Language Pathologist 1432 Camden Ave Apt 104, Los Angeles, CA 90025-3471 2020-04-08
1235762956 Elizabeth Joy Gordon Speech-Language Pathologist 154 S Mansfield Ave, Los Angeles, CA 90036-3019 2020-02-20
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Competitor

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City LOS ANGELES
Zip Code 90019

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Dataset Information

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.

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