Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Susanna Gail Prim, MSCCCSLP

Individual provider Speech-Language Pathologist · NPI 1255316212

Mrs. Susanna Gail Prim, MSCCCSLP is a Speech-Language Pathologist in Anaheim, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2005
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Practice location Address checks out

1429 W Beverly Dr
Anaheim, CA 92801-5827
Phone: (714) 499-8992
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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 SP12191 (CA)

Record details

NPI number1255316212
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCCSLP
Sole proprietorYes
NPI enumeratedDecember 13, 2005
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

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