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

MS. Susan E Shoulders, MS/CCC-SLP

Individual provider Registered Dietitian · NPI 1033390612

MS. Susan E Shoulders, MS/CCC-SLP is a Registered Dietitian in Mt Washington, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2007
Specialties on file
7

Practice location Address checks out

1123 N Bardstown Rd Ste #2
Mt Washington, KY 40047-7843
Phone: (502) 472-1194
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X
Registered Dietitian Taxonomy 133V00000X
Developmental Therapist Taxonomy 222Q00000X
Occupational Therapy Assistant Taxonomy 224Z00000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 3419 (KY)
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1033390612
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS/CCC-SLP
Sole proprietorYes
NPI enumeratedNovember 23, 2007
Last updated in NPPESFebruary 7, 2020
Certification dateFebruary 7, 2020