SUSANA VILLARREAL MA CCC-SLP
NPI 1104351154
Speech-Language Pathologist in Fresno, CA

Q: What is Susana Villarreal's NPI number?

The NPI number for Susana Villarreal is 1104351154. It was assigned to this individual provider in the NPPES registry on April 27, 2017. The provider is also known as Susana Rodriguez.

Q: What is Susana Villarreal's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Susana Villarreal was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 27, 2017

2823 FRESNO ST, FRESNO, CA 93721(559) 459-2144 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 29, 2025, Apr 27, 2017 (2 updates tracked since 2017).

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About Susana Villarreal Ma Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSANA VILLARREAL MA CCC-SLP (NPI 1104351154) is an individual speech-language pathologist provider in Fresno, California, licensed in California (17523) and active in the NPI registry since April 2017. She is a graduate of Other (2008).

NPPES Registry Identity

NPI1104351154

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameSUSANA VILLARREALCredential: MA CCC-SLP

Location Address2823 FRESNO STFresno, CA 93721-1324

Mailing Address2958 Powers AveClovis, CA 93619-7404

Phone(559) 459-2144

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateApril 27, 2017

Last NPPES UpdateDecember 29, 20252 updates tracked since enumeration

NPPES CertifiedDecember 29, 2025

✔ NPI 1104351154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in CA · 17523

Definition

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.

2823 FRESNO ST, Fresno, CA 93721

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Other Names 1

Former Name (1)Susana Rodriguez

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susana Villarreal Ma Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860986387

PECOS Enrollment IDI20251211003190

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE LEA STORKAN M.D.

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