| Doctor Name: | MS. SUZETTE LEE BLOEDEL |
| NPI Number: | 1174577910 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, CCC/SLP |
| License Number: | 1377-154 |
| Business Practice Address: | 5000 W National Ave Milwaukee, WI - 532950001 |
| Business Phone Number: | 4143842000 |
| Business Fax Number: | 4143825319 |
| Mailing Address: | 851 S 76th St, WEST ALLIS |
| State: | WI |
| Postal Code: | 532143026 |
| Phone Number: | 4144569644 |
| Fax Number: | |
| NPI Enumeration Date: | 05/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 1377-154 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| 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 |