Doctor Name: | DR. SUSAN KANE |
NPI Number: | 1114137858 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D., CCC-SLP |
License Number: | SL001189L |
Business Practice Address: | 3075 Ridge Pike Eagleville, PA - 19403 |
Business Phone Number: | 6102654700 |
Business Fax Number: | |
Mailing Address: | 5004 Tomahawk Dr, COLLEGEVILLE |
State: | PA |
Postal Code: | 194263231 |
Phone Number: | 6108315675 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL001189L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |