MEDICARE: HSIN-PEI SU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	9541	TN

General Provider Information

NPI Number	:	1295667988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HSIN-PEI SU

Provider Business Mailing Address
First Line	:	440 W US HIGHWAY 72 STE 2
Second Line	:
City	:	COLLIERVILLE
State	:	TN
Zip	:	38017-2804
Country	:	US
Telephone Number	:	901-221-8244
Fax Number	:

Provider Business Practice Location Address
First Line	:	440 W US HIGHWAY 72 STE 2
Second Line	:
City	:	COLLIERVILLE
State	:	TN
Zip	:	38017-2804
Country	:	US
Telephone Number	:	901-221-8244
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

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Directions to “ HSIN-PEI SU ” Practice Location

Language	Start Address	Practice Location

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