NPI Code Details Logo

NPI 1306048335

NPI 1306048335 : SUZANNE WHEELER MS, CCC SLP : DALLAS, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1306048335
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SUZANNE WHEELER MS, CCC SLP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/01/2007
-----------------------------------------------------
    Last Update Date     |    12/08/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1881 SYLVAN AVE STE 150 
-----------------------------------------------------
    City                 |    DALLAS
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75208-2002
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    214-743-1200
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 2108 
-----------------------------------------------------
    City                 |    CEDAR HILL
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75106-2108
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    254-289-1095
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    108644
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.