MRS. SUZANNE A FREDERICKSON (NPI# 1922577147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922577147 |
| Entity Type | Individual |
| Full Name | MRS. SUZANNE A FREDERICKSON |
| Other Name | SUZANNE A STOCKTON |
| Credential | CCC-SLP |
| Practice Address |
Highlands Internal Medicine, PC 156 North Main St Clayton GA 30525 |
| Mailing Address |
156 North Main St Clayton GA 30525 |
| Practice Telephone | 7062120390 |
| Practice Fax Number | 7069609209 |
| Mailing Telephone | 7062120390 |
| Mailing Fax Number | 7069609209 |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP004550 | GA | Speech, Language and Hearing Service Providers |
| Street Address |
HIGHLANDS INTERNAL MEDICINE, PC 156 NORTH MAIN ST |
| City | CLAYTON |
| State | GA |
| Zip Code | 30525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605839 | Charlotte Hart Fandrich | Massage Therapist | 1048 Old Highway 441 North, Clayton, GA 30525 | 2019-12-05 |
| 1427562750 | Second Nature Blue Ridge, LLC | Psychiatric Residential Treatment Facility | 236 File St., Clayton, GA 30525 | 2017-11-22 |
| 1053854752 | Haley Vaughan Stapleton | Nurse Practitioner | 596 Mountain City Road, Clayton, GA 30525 | 2016-11-29 |
| 1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
| 1316239122 | Jason A Bonner | Pharmacist | 1455 U.S. 441, Clayton, GA 30525 | 2011-05-11 |
| 1477842557 | Clayton Therapy Center, LLC | Marriage & Family Therapist | 24 Chechero St, Suite 2, Clayton, GA 30525 | 2011-03-29 |
| 1891959672 | Adams Hearing Aid Specialists | Hearing Instrument Specialist | 91 E Savannah Place, Clayton, GA 30525 | 2008-07-11 |
| 1578721494 | Lawrence M Gillespie | Dentist | 436 Warwoman Road, Clayton, GA 30525 | 2008-05-28 |
| 1336262112 | Clayton Family Eye Care PC | Optometrist | 50 Earl St., Suite A, Clayton, GA 30525 | 2007-04-09 |
| 1932220266 | Mountain Physical Therapy Inc | Physical Therapist | 1218 North Main St, Clayton, GA 30525 | 2007-04-03 |
| Find all providers in zip 30525 | ||||
| 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 |
|---|---|---|---|---|
| 1861043978 | Shannon Hardee | Speech-Language Pathologist | Clayton Elementary, 510 Main Street, Clayton, DE 19938 | 2019-09-20 |
| 1245748565 | Bree Hickox Bragg | Speech-Language Pathologist | 8857 Highway 76 W, Clayton, GA 30525-3706 | 2018-01-22 |
| 1639694656 | Jillian Sherrin | Speech-Language Pathologist | 205 Magnolia Cir, Clayton, NC 27527-8875 | 2017-08-10 |
| 1811417421 | Prime Legacy Rehabilitation Services, Pllc | Speech-Language Pathologist | 813 Yorkshire Dr, Clayton, NC 27520-2956 | 2017-06-24 |
| 1700314804 | Emily Roberts | Speech-Language Pathologist | 190 Mt Wilson Way, Clayton, CA 94517-1645 | 2017-06-01 |
| 1093179327 | Megan Bland | Speech-Language Pathologist | 301 Swann Trl, Clayton, NC 27527-6504 | 2016-04-12 |
| 1740603661 | Early Speech Services. | Speech-Language Pathologist | 68 Bent Creek Court, Clayton, NC 27527 | 2014-01-29 |
| 1871854240 | A To Z Speech Therapy Pllc | Speech-Language Pathologist | 212 W Moss Creek Dr, Clayton, NC 27520-6912 | 2012-06-01 |
| 1023397601 | Jessica Masciarelli | Speech-Language Pathologist | 54 Bexley Way, Clayton, NC 27527-3344 | 2011-08-12 |
| 1942505805 | Danielle Jones Mntanga | Speech-Language Pathologist | 8056 Venetian Dr Apt 8, Clayton, MO 63105-2557 | 2011-01-24 |
| Find all providers in CLAYTON | ||||
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| 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.