Doctor Name: | MS. SUSAN MCDONALD |
NPI Number: | 1205065687 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | |
Business Practice Address: | 12425 Race Track Rd Suite 100 Tampa, FL - 336263102 |
Business Phone Number: | 8006591522 |
Business Fax Number: | |
Mailing Address: | Po Box 292, ANACORTES |
State: | WA |
Postal Code: | 982210292 |
Phone Number: | 3602934066 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2009 |
NPI Last Update Date: | 07/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |