Doctor Name: | SUSAN C THOMAS |
NPI Number: | 1063781417 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 2753 |
Business Practice Address: | 105 Windsor Path Suite 3 Georgetown, KY - 403249617 |
Business Phone Number: | 8595883709 |
Business Fax Number: | 5026030622 |
Mailing Address: | 105 Windsor Path, Suite 3 GEORGETOWN |
State: | KY |
Postal Code: | 403249617 |
Phone Number: | 8595883709 |
Fax Number: | 5026030622 |
NPI Enumeration Date: | 12/14/2011 |
NPI Last Update Date: | 05/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2753 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |