Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Susannah Grovenor, SLP

Individual provider Speech-Language Pathologist · NPI 1972217651

Mrs. Susannah Grovenor, SLP is a Qualified Speech Language Pathologist in Jackson, Missouri. Qualified in 2014, 12 years ago. Practices with Empowerme Rehabilitation Illinois LLC, a 367-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2023
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

2064B Walton Dr
Jackson, MO 63755-3701
Phone: (573) 204-0429
Fax: (573) 204-0471
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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 2019015649 (MO)

Record details

NPI number1972217651
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorYes
NPI enumeratedJanuary 9, 2023
Last updated in NPPESJanuary 9, 2023
Certification dateJanuary 8, 2023

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Empowerme Rehabilitation Illinois Llc — 367 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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