Ms Susan E Shoulders, MS/ CCC-SLP is a
Early Intervention Provider Agency based in Mt Washington, Kentucky. Ms Susan E Shoulders is licensed to practice in * (Not Available) (license number ) and her current practice location is
1123 N Bardstown Rd, Suite #2, Mt Washington, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(502) 472-1194.
NPI number for Ms Susan E Shoulders is 1033390612 and her current mailing address is Po Box 91286, Louisville, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033390612.
Healthcare Provider's Profile
| Full Name | Ms Susan E Shoulders |
|---|
| Gender | Female |
|---|
| Speciality | Early Intervention Provider Agency |
|---|
| Location | 1123 N Bardstown Rd, Mt Washington, Kentucky |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1033390612
- Provider Enumeration Date: 11/23/2007
- Last Update Date: 02/07/2020
Medical Identifiers
Medical identifiers for Ms Susan E Shoulders such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033390612 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 222Q00000X | Developmental Therapist | (* (Not Available)) | Secondary |
| 224Z00000X | Occupational Therapy Assistant | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | 3419 (Kentucky) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Susan E Shoulders is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Susan E Shoulders, MS/ CCC-SLP
Po Box 91286,
Louisville, KY 40291-0286
Ph: (502) 472-1194 | Ms Susan E Shoulders, MS/ CCC-SLP
1123 N Bardstown Rd, Suite #2,
Mt Washington, KY 40047-7843
Ph: (502) 472-1194 |
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