Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Susannah Irene Blum, MSSLP-CCC

Individual provider Speech-Language Pathologist · NPI 1497236913

Miss. Susannah Irene Blum, MSSLP-CCC is a Qualified Speech Language Pathologist in New York, New York. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2018
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Practice location Address checks out

Ps 138@PS30 144 Eat 138th St
New York, NY 10035
Phone: (212) 369-2227
Fax: (212) 427-6608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 028033 (NY)

Record details

NPI number1497236913
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSSLP-CCC
Sole proprietorYes
NPI enumeratedAugust 23, 2018
Last updated in NPPESAugust 23, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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