Doctor Name: | MISS SUSAN CATHERINE TRAYLOR |
NPI Number: | 1134492754 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA/CCC-SLP |
License Number: | 10777 |
Business Practice Address: | 1420 South Central Ave Glendale, CA - 91204 |
Business Phone Number: | 3108378001 |
Business Fax Number: | |
Mailing Address: | 1420 South Central Ave, GLENDALE |
State: | CA |
Postal Code: | 91204 |
Phone Number: | 3108207202 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2012 |
NPI Last Update Date: | 08/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 10777 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |