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

Susan Adele Bogardus

Individual provider Speech-Language Pathologist · NPI 1194518142

Susan Adele Bogardus is a Qualified Speech Language Pathologist in Ashtabula, Ohio. Qualified in 2024, 2 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2025

Practice location Address checks out

2630 W 13th St
Ashtabula, OH 44004-2405
Phone: (440) 253-9287
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1194518142
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 23, 2025
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025
Mailing address2630 W 13th St, Ashtabula, OH 44004-2405

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ashtabula