Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104095314 Individual Practitioner Female Practitioner

Susan Ruth Pollesel , MA CCC SP

Speech-Language Pathologist • Ukiah, CA

Professional Overview & Biography Verified Profile Summary

Susan Pollesel, MA CCC SP is a registered healthcare professional specializing in Speech-Language Pathologist in Ukiah, CA. Practice services are available at 793 S DORA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

793 S Dora St

Ukiah, CA 954825335

Telephone 7074685193

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Ukiah, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Ukiah, CA (13280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA SP003652

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 21, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2008

Registered at 793 S DORA ST, UKIAH, CA 954825335 (Tel: 7074685193)

📍
Updated Business Mailing Address February 21, 2008

Registered at PO BOX 1462, UKIAH, CA 954821462 (Tel: 7074685193)

👤
Provider Name / Credentials Updated February 21, 2008

Recorded as SUSAN POLLESEL, MA CCC SP.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2008

Speech-Language Pathologist (License #SP003652 in CA)

🟢
Initial NPI Registration & Enumeration February 21, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1104095314
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2008
Last Update: February 21, 2008
Sole Proprietor: Yes

Mailing Address

Po Box 1462

Ukiah, CA 954821462

Phone: 7074685193

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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