Doctor Name: | MS. SUSAN ELIZABETH KING |
NPI Number: | 1154697241 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC/SLP |
License Number: | 15942 |
Business Practice Address: | 1101 7th St Brownwood, TX - 768014123 |
Business Phone Number: | 3256431721 |
Business Fax Number: | 3256467627 |
Mailing Address: | 1301 Willis St, BROWNWOOD |
State: | TX |
Postal Code: | 768015703 |
Phone Number: | 3256460048 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2012 |
NPI Last Update Date: | 03/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 15942 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |