| Susanna Taha, MS, CCC-SLP | |
|
533 N Blue Jay Ln, Fayetteville, AR 72704-8426 | |
| (479) 444-7882 | |
| (479) 444-7782 |
| Full Name | Susanna Taha |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 533 N Blue Jay Ln, Fayetteville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639485139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP#871 (Arkansas) | Primary |
| Provider Name | Fusion Therapy Center Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1801552435 PECOS PAC ID: 3173981776 Enrollment ID: O20230613003817 |
| Mailing Address | Practice Location Address |
|---|---|
| Susanna Taha, MS, CCC-SLP Po Box 906, Farmington, AR 72730-0906 Ph: (479) 601-4788 | Susanna Taha, MS, CCC-SLP 533 N Blue Jay Ln, Fayetteville, AR 72704-8426 Ph: (479) 444-7882 |
Micah Joel Smith, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3801 Johnson Mill Blvd # Ab, Fayetteville, AR 72704 Phone: 479-790-0684 | |
Ashley Elizabeth Nixon, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2846 N Garland Ave, Fayetteville, AR 72704 Phone: 855-324-0885 Fax: 317-520-8200 | |
Mrs. Carmen Shumpert, M.S.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2474 E Joyce Blvd, Ste 2, Fayetteville, AR 72703 Phone: 479-521-8326 | |
Mrs. Sarah Matousek, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 125 W Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-587-9201 Fax: 479-527-9439 | |
Jeana Beth Scott, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16 W Colt Square Dr, Fayetteville, AR 72703 Phone: 479-587-9201 Fax: 479-527-9439 | |
Colby Fowler, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12 W Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-521-6500 | |
Tara Phillips, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2758 E Millennium Pl, Fayetteville, AR 72703 Phone: 479-283-4637 |