MS. SUSAN MACK (NPI# 1669616793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669616793 |
| Entity Type | Individual |
| Full Name | MS. SUSAN MACK |
| Other Name | MS. SUSAN KWIATKOWSKI |
| Credential | SLP |
| Practice Address |
15 Dovehill Cir Penfield NY 14526-1981 |
| Practice Telephone | 5852590772 |
| Mailing Telephone | 5852590772 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2016-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 005876 | NY | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790082436 | Susan L Mack | Homeopath | 6484 Ford Rd, Flowery Branch, GA 30542-2636 | 2011-02-15 |
| 1003808270 | Susan Ann Mack | Nurse Practitioner | 514 Teela Ln, Des Plaines, IL 60016-1230 | 2005-08-16 |
| 1235492356 | Susan Melissa Mack | Massage Therapist | 18407 Pacific Ave S, Spanaway, WA 98387-8374 | 2012-06-22 |
| 1356596217 | Susan Mack | Occupational Therapist | 4016 Raintree Rd, Suite 240, Chesapeake, VA 23321-3700 | 2008-11-19 |
| 1093986747 | Susan Mack | Social Worker | 107 S 5th St, Richmond, VA 23219-3825 | 2008-03-20 |
| 1396955316 | Susan J Mack | Nurse Practitioner | 929 Stacy Burk Drive, Flora, IL 62839 | 2007-05-22 |
| 1750490538 | Susan M Mack | Physical Therapist | 1830 112th St E, Ste D, Tacoma, WA 98445-3747 | 2006-08-29 |
| Street Address |
15 DOVEHILL CIR |
| City | PENFIELD |
| State | NY |
| Zip Code | 14526-1981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740791839 | Lori A Teller-mcdonald | Counselor | 15 Hidden Meadow, Penfield, NY 14526 | 2017-10-17 |
| 1952825028 | Theresa J Maher | Social Worker | 52 Liberty Street, Penfield, NY 14526 | 2017-08-01 |
| 1669894291 | Joseph Muscarella | Occupational Therapist | 22 Meadowlark Dr., Penfield, NY 14526 | 2014-01-16 |
| 1558645051 | Kathleen B Harris | Registered Nurse | 1750 Scribner Road, Penfield, NY 14526 | 2011-10-03 |
| 1073834115 | Lauren N O'meal | Registered Nurse | 481 Penbrooke Drive, Suite 6, Penfield, NY 14526 | 2010-06-11 |
| 1033365515 | Tiffany Marie Spring Welsher | Speech-Language Pathologist | 58 Dublin Heights Rd, Penfield, NY 14526 | 2008-08-15 |
| 1447358064 | Cvs Albany LLC | Pharmacy | 2200 Penfield Rd Penn Fair Plz, Penfield, NY 14526 | 2006-09-20 |
| 1295837185 | Gloria Nichols | Dentist | 2041 Penfield Rd, Penfield, NY 14526 | 2006-09-02 |
| 1023029402 | Robert Ciccone | Dentist | 2094 Five Mile Line Rd, Penfield, NY 14526 | 2006-08-10 |
| 1891732608 | Joselito Gaspar Delossantos | Pharmacist | 2200 Penfield Road, Cvs Pharmacy #545, Penfield, NY 14526 | 2006-06-01 |
| Find all providers in zip 14526 | ||||
| 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 |
|---|---|---|---|---|
| 1417233875 | Shelley Robinson Oliver | Speech-Language Pathologist | 1994 Five Mile Line Rd, Penfield, NY 14526-1054 | 2011-10-31 |
| 1649554114 | Edith F Turner | Speech-Language Pathologist | 95 Chippenham Dr, Penfield, NY 14526-2909 | 2011-10-03 |
| 1164734992 | Diane J Bratteli | Speech-Language Pathologist | 140 Gebhardt Rd, Penfield, NY 14526-1329 | 2010-07-09 |
| 1851603682 | Mary Veronica Gambee | Speech-Language Pathologist | 2126 Penfield Rd, Penfield, NY 14526-1736 | 2010-07-09 |
| 1881827111 | Michelle Marie Landon | Speech-Language Pathologist | 1760 Scribner Rd, Penfield, NY 14526-9785 | 2009-09-03 |
| 1821236183 | Rebecca E Lamb | Speech-Language Pathologist | 23 Edenfield Rd, Penfield, NY 14526-1975 | 2009-01-25 |
| 1033365515 | Tiffany Marie Spring Welsher | Speech-Language Pathologist | 58 Dublin Heights Rd, Penfield, NY 14526 | 2008-08-15 |
| 1801052121 | Deborah Grace Kelleher-jordan | Speech-Language Pathologist | 48 Valewood Run, Penfield, NY 14526-2807 | 2008-08-06 |
| 1407012412 | Laura A Clark | Speech-Language Pathologist | 25 High School Dr, Penfield, NY 14526-1422 | 2008-07-30 |
| 1568637601 | Rachel Enes Hansen | Speech-Language Pathologist | 1785 Baird Rd, Penfield, NY 14526-1072 | 2008-04-29 |
| Find all providers in PENFIELD | ||||
Please comment or provide details below to improve the information on MS. SUSAN MACK.
| 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.