Ms Susan Southerland, SLP is a
Speech-language Pathologist based in Menands, New York. Ms Susan Southerland is licensed to practice in New York (license number 58 008901) and her current practice location is
570 N Pearl St, Menands, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 675-4800.
NPI number for Ms Susan Southerland is 1457633539 and her current mailing address is 570 N Pearl St, Menands, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457633539.
Healthcare Provider's Profile
| Full Name | Ms Susan Southerland |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
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| Location | 570 N Pearl St, Menands, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457633539
- Provider Enumeration Date: 09/14/2011
- Last Update Date: 09/14/2011
Medical Identifiers
Medical identifiers for Ms Susan Southerland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457633539 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 58 008901 (New York) | 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 Southerland 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 Southerland, SLP
570 N Pearl St,
Menands, NY 12204-1659
Ph: (518) 675-4800 | Ms Susan Southerland, SLP
570 N Pearl St,
Menands, NY 12204-1659
Ph: (518) 675-4800 |
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