SUSANNA ELEANOR WOOTEN


Address: 16147 Lancaster Hwy Ste 130, Charlotte, NC 28277-2051
Phone: 7043079541

SUSANNA ELEANOR WOOTEN (NPI# 1063056968) 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) 1063056968
Entity Type Individual
Full Name SUSANNA ELEANOR WOOTEN
Credential MSP-CCC,SLP
Practice Address 16147 Lancaster Hwy Ste 130
Charlotte
NC 28277-2051
Practice Telephone 7043079541
Mailing Telephone 7043079541
Mailing Fax Number 7045401197
Enumeration Date 2019-11-04
Last Update Date 2019-11-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 13223 NC Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NONE NA 01

Office Location

Street Address 16147 LANCASTER HWY STE 130
City CHARLOTTE
State NC
Zip Code 28277-2051

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275177115 Andrea Kellner Occupational Therapy Assistant 16147 Lancaster Hwy Ste 130, Charlotte, NC 28277-2051 2019-11-04

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1255949731 New Life Peer Support and Coaching LLC Clinic/Center 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 2020-07-21
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1275010019 Jigneshkumar R Mistry Pharmacist 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 2018-07-24
1255825410 Novant Medical Group Inc. Family Medicine 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 2018-06-20
1447752316 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 11135 Golf Links Dr, Charlotte, NC 28277 2018-03-06
1932607595 Charlotte Proactive Md PC Clinic/Center 11220 Golf Links Drive North, Charlotte, NC 28277 2018-01-30
1003331521 Accela Spine and Pain, Pllc Anesthesiology 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 2017-08-04
1265961619 Dominicka Whitaker Counselor 12365 Bluestem Ln., Charlotte, NC 28277 2017-06-08
1083143408 Monika D Hayes Counselor 11330 Snapfinger Drive, Charlotte, NC 28277 2017-06-08
1225582984 Danielle Mcdaniel Occupational Therapist 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 2016-08-11
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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
1396345112 Good Shepherd Therapy Speech-Language Pathologist 10301 Oak Pond Cir, Charlotte, NC 28277-9506 2020-10-30
1922616036 Mila Therapy Services Speech-Language Pathologist 14165 Dunbritton Ln Apt 1312, Charlotte, NC 28277-2452 2020-07-15
1437776309 Anna Hardison Speech-Language Pathologist 9934 Meadowmead Ct, Charlotte, NC 28273-3367 2020-06-26
1326696345 Elizabeth Jane Buie Speech-Language Pathologist 5928 Winburn Ln, Charlotte, NC 28226-8152 2019-09-03
1053967398 Marissa Pardini Speech-Language Pathologist 101 E Wt Harris Blvd Ste 5100, Charlotte, NC 28262-3485 2019-08-13
1003469008 Lauren Jane Cownie Speech-Language Pathologist 523 Ridgeway Ave Apt 101, Charlotte, NC 28204-0023 2019-07-18
1558914838 Margaret Thompson Fitzgerald Speech-Language Pathologist 1205 S Tryon St Unit 1448, Charlotte, NC 28203-4393 2019-07-16
1386205763 Alyssa Dudley Speech-Language Pathologist 1331 W Morehead St Apt 544, Charlotte, NC 28208-5391 2019-06-26
1992262018 Katherine Grace Bias Speech-Language Pathologist 11709 Freuhaud Dr Ste. 123, Charlotte, NC 28273 2019-02-25
1679049407 Speech Builders Therapy Services Speech-Language Pathologist 3020i Prosperity Church Rd Ste 415, Charlotte, NC 28269-8112 2018-10-19
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Competitor

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City CHARLOTTE
Zip Code 28277

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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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