SUSAN GREEN (NPI# 1790190759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790190759 |
| Entity Type | Individual |
| Full Name | SUSAN GREEN |
| Credential | CCC-SLP |
| Practice Address |
3101 S Gulley Rd Ste F-g Dearborn MI 48124-4406 |
| Mailing Address |
136 William St Springfield MA 01105-2324 |
| Practice Telephone | 7344072500 |
| Mailing Telephone | 8002189280 |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2014-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134407091 | Susan Joy Green | Occupational Therapy Assistant | 22714 County Road 26, Arlington, NE 68002-5042 | 2011-07-26 |
| 1902128705 | Susan K Green | Pharmacist | 911 Rainbow Drive, Gadsden City Pharmacy, Gadsden, AL 35901-1513 | 2010-02-19 |
| 1902024227 | Susan Jean Green | Student in an Organized Health Care Education/Training Program | 10 1st Ave E, Glen Burnie, MD 21061-2073 | 2007-04-23 |
| 1447324033 | Susan Blake Green | Counselor | 2500 Lincoln Dr, Abilene, TX 79601-2023 | 2006-11-17 |
| 1689697385 | Susan K Green | Chiropractor | 2001 N Rand Road, Palatine, IL 60074-2573 | 2006-07-25 |
| 1063045128 | Susan Green | Physical Therapist | 5615 Deauville Ste 120, Midland, TX 79706-2708 | 2020-02-18 |
| 1063062883 | Susan M Green | Registered Nurse | 155 Densmore Rd, Rochester, NY 14609-1850 | 2019-09-13 |
| 1215447883 | Susan Michele Green | Physical Therapist | 1825 Fortview Rd Ste 109, Austin, TX 78704-7655 | 2017-10-09 |
| 1376888453 | Susan Hopkins Green | Physical Therapist | 1919 112th St Sw, Everett, WA 98204-3784 | 2012-11-30 |
| 1912260605 | Susan Lynn Green | Speech-Language Pathologist | 695 E Main St, Gallatin, TN 37066-2472 | 2012-06-19 |
| Street Address |
3101 S GULLEY RD STE F-G |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033524103 | Kathryn Kaufmann | Speech-Language Pathologist | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-06-26 |
| 1043615370 | Adrienna Bartnicki | Occupational Therapist | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-10-29 |
| 1265835003 | Meghan O'bryan Plaza | Speech-Language Pathologist | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-10-08 |
| 1568864288 | Gina Tarducci | Technician, Other | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-09-25 |
| 1013319730 | Lauren Schneider | Technician, Other | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-09-25 |
| 1477953065 | Monique Thomas | Technician, Other | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-09-02 |
| 1346640018 | Samantha Faletti | Technician, Other | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-08-29 |
| 1477953537 | Batoul Sobh | Technician, Other | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-08-26 |
| 1437559598 | Margaret Bergiel | Technician, Other | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-08-26 |
| 1891195947 | Janna Taraskavage | Technician, Other | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| 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 |
|---|---|---|---|---|
| 1386258853 | Kristen Ruth Newman | Speech-Language Pathologist | 1 Parklane Blvd Ste 200, Dearborn, MI 48126-4221 | 2020-09-02 |
| 1194339903 | Kelli Marie Parker | Speech-Language Pathologist | 15001 Michigan Ave Ste 100, Dearborn, MI 48126-6600 | 2020-08-31 |
| 1720614209 | Meira Abidov | Speech-Language Pathologist | 5500 Auto Club Dr Ste 235, Dearborn, MI 48126-2779 | 2020-03-17 |
| 1669944450 | Breanne Barry | Speech-Language Pathologist | 904 Drexel St, Dearborn, MI 48128-1641 | 2018-12-18 |
| 1114414752 | Kamilla Schulte | Speech-Language Pathologist | 3101 S Gulley Rd Ste G, Dearborn, MI 48124-4406 | 2018-04-19 |
| 1699292623 | Rebekka Jean Dicks | Speech-Language Pathologist | 2848 Parker St, Dearborn, MI 48124-3397 | 2017-08-30 |
| 1245692383 | Laura Beth Begley | Speech-Language Pathologist | 3512 Mckinley St, Dearborn, MI 48124-3616 | 2016-03-28 |
| 1346611217 | Alandra Szandzik | Speech-Language Pathologist | 1360 Porter St Lowr Level, Dearborn, MI 48124-2890 | 2015-10-16 |
| 1891190260 | Amanda Semetko | Speech-Language Pathologist | 3101 S. Gulley Road, Ste F-g, Dearborn, MI 48124 | 2014-10-28 |
| 1033524103 | Kathryn Kaufmann | Speech-Language Pathologist | 3101 S Gulley Rd Ste F-g, Dearborn, MI 48124-4406 | 2014-06-26 |
| Find all providers in DEARBORN | ||||
Please comment or provide details below to improve the information on SUSAN GREEN.
| 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.