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

Individual provider Speech-Language Pathologist · NPI 1104351154

Susana Villarreal, MACCC-SLP is a Qualified Speech Language Pathologist in Fresno, California. Qualified in 2008, 18 years ago. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2017
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Practice location Address checks out

2823 Fresno St
Fresno, CA 93721-1324
Phone: (559) 459-2144
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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 17523 (CA)

Record details

NPI number1104351154
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedApril 27, 2017
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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