SUSAN CAROL SPENCER (NPI# 1821624545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821624545 |
| Entity Type | Individual |
| Full Name | SUSAN CAROL SPENCER |
| Credential | M.A., CCC-SLP |
| Practice Address |
550 Munson Ave Traverse City MI 49686-3580 |
| Mailing Address |
10221 Hager Rd Fife Lake MI 49633-9079 |
| Practice Telephone | 2319359167 |
| Practice Fax Number | 2319358609 |
| Mailing Telephone | 2313603048 |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 7101000903 | MI | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730643214 | Susan Derian Spencer | Physical Therapist | 13142 N Hunters Cir, San Antonio, TX 78230-2843 | 2019-01-29 |
| 1922401959 | Susan H Spencer | Massage Therapist | 10790 W La Grange St, Boise, ID 83709-6264 | 2014-10-05 |
| 1659589125 | Susan Elizabeth Spencer | Specialist/Technologist, Other | 777 E Girard, Suite 250, Englewood, CO 80113 | 2007-05-18 |
| 1144343799 | Susan Spencer | Speech-Language Pathologist | Compro, 711 Bingham St, Pittsburgh, PA 15203 | 2007-04-09 |
| 1659423044 | Susan Elizabeth Spencer | Pharmacist | 9740b University City Blvd, Charlotte, NC 28213-3608 | 2007-01-17 |
| 1710088661 | Susan Spencer | Counselor | 53 Hindman Bypass Rd, Hindman, KY 41822 | 2006-09-25 |
| 1386619898 | Susan Beyer Spencer | Nurse Practitioner | 1521 N. Cooper St, Suite 630, Arlington, TX 76011 | 2006-02-18 |
| 1518937861 | Susan Shackelford Spencer | Social Worker | 365 Chaffin Ridge Ct, Roswell, GA 30075-2351 | 2006-01-26 |
| 1457767352 | Susan Spencer | Massage Therapist | 6580 N Northwest Hwy, Chicago, IL 60631-1415 | 2014-07-11 |
| 1225478217 | Susan Janet Spencer | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2013-07-05 |
| Street Address |
550 MUNSON AVE |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686-3580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839131 | William H. George | Internal Medicine | 550 Munson Ave, Traverse City, MI 49686 | 2005-05-24 |
| 1265054936 | Erynne Louise Russell | Speech-Language Pathologist | 550 Munson Ave, Traverse City, MI 49686-3580 | 2020-05-15 |
| 1346807617 | Mary Priestly | Physician Assistant | 550 Munson Ave, Traverse City, MI 49686-3580 | 2019-05-22 |
| 1194380493 | Kimberly A Chandler | Health Educator | 550 Munson Ave, Traverse City, MI 49686-3580 | 2019-05-02 |
| 1942770946 | Caroline Kiley | Physical Therapist | 550 Munson Ave, Traverse City, MI 49686-3580 | 2018-12-03 |
| 1851861850 | Grace Blankenhagen | Physical Therapist | 550 Munson Ave, Traverse City, MI 49686-3580 | 2018-12-03 |
| 1316429863 | Elizabeth Marie Teklinski | Counselor | 550 Munson Ave, Traverse City, MI 49686-3580 | 2018-08-31 |
| 1326544230 | Kaitlyn Troutman | Nurse Practitioner | 550 Munson Ave, Traverse City, MI 49686-3580 | 2018-04-02 |
| 1598267254 | Teresa Lynn Hearne | Physical Therapist | 550 Munson Ave, Traverse City, MI 49686-3580 | 2018-03-08 |
| 1699277269 | Joanne Peregrine | Physical Therapist | 550 Munson Ave, Traverse City, MI 49686-3580 | 2018-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1568011542 | Joanne Kressley | Technician | 1693 Maylane Apt. 104, Traverse City, MI 49686 | 2019-09-11 |
| 1194283846 | Pace North | PACE Provider Organization | 2325 Garfield Road N., Traverse City, MI 49686 | 2019-03-12 |
| 1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
| 1467981811 | Joan Joyce Shirilla | Social Worker | 2124 Twin Eagles Dr, Traverse City, MI 49686 | 2017-06-08 |
| 1770028763 | Rehab and Mobility Systems, LLC | Durable Medical Equipment & Medical Supplies | 707 Parsons, Traverse City, MI 49686 | 2016-12-29 |
| 1629511316 | Kaitlyn Grangood | Social Worker | 415 Munson Avenue, Ste 101, Traverse City, MI 49686 | 2016-11-29 |
| 1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1982079588 | Marsha Lynne Dallas | Counselor | 2240 South Airport Road, Traverse City, MI 49686 | 2015-12-08 |
| Find all providers in zip 49686 | ||||
| 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 |
|---|---|---|---|---|
| 1750926135 | Sarah E Schin | Speech-Language Pathologist | 2389 Twin Eagles Dr, Traverse City, MI 49686-9308 | 2019-11-09 |
| 1134785355 | Paula Jean Austin | Speech-Language Pathologist | 771 S West Silver Lake Rd, Traverse City, MI 49685-8530 | 2019-05-13 |
| 1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
| 1194262824 | Beth Westrate | Speech-Language Pathologist | 437 1/2 W 7th St, Traverse City, MI 49684-2430 | 2017-01-19 |
| 1942639422 | Rena Spencer | Speech-Language Pathologist | 5208 Liberty Dr, Traverse City, MI 49685-9737 | 2013-11-05 |
| 1447696299 | Linda Rysberg | Speech-Language Pathologist | 2489 N Us Hwy 31 N, Traverse City, MI 49686-3700 | 2013-05-21 |
| 1992902431 | Kristen Thomas | Speech-Language Pathologist | 1810 Chartwell Dr, Traverse City, MI 49696-9283 | 2007-06-28 |
| 1629695424 | Paige E Cornillie | Speech-Language Pathologist | 1810 Chartwell Dr, Traverse City, MI 49696-9283 | 2020-06-29 |
| 1265054936 | Erynne Louise Russell | Speech-Language Pathologist | 550 Munson Ave, Traverse City, MI 49686-3580 | 2020-05-15 |
| 1124669502 | Alyssa Jane Westmaas | Speech-Language Pathologist | 1810 Chartwell Dr, Traverse City, MI 49696-9283 | 2019-10-07 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
Please comment or provide details below to improve the information on SUSAN CAROL SPENCER.
| 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.