1578836425 NPI number — REBECCA SUSANNA SCHU M.S. CCC-SLP

NPI Number: 1578836425
Health Care Provider/Practitioner: REBECCA SUSANNA SCHU M.S. CCC-SLP

NPI Number : 1578836425 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578836425",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHU",
    "FirstName": "REBECCA",
    "MiddleName": "SUSANNA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S. CCC-SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DARRAH",
    "OtherFirstName": "REBECCA",
    "OtherMiddleName": "SUSANNA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.S. CCC-SLP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "127 EAST AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MOUNT CARMEL",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "17851-1411",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "570-933-1451",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "127 EAST AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MOUNT CARMEL",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17851-1411",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "570-933-1451",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/22/2012",
    "LastUpdateDate": "02/22/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}