| Doctor Name: | MS. SUSAN MARIE DRUST |
| NPI Number: | 1215193420 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, CCC/SLP, TSHH, |
| License Number: | 011810 |
| Business Practice Address: | 1360 Eggert Rd Amherst, NY - 142263354 |
| Business Phone Number: | 7168350417 |
| Business Fax Number: | 7168352648 |
| Mailing Address: | 302 Olmstead Ave, DEPEW |
| State: | NY |
| Postal Code: | 140432441 |
| Phone Number: | 7166849545 |
| Fax Number: | 7168352468 |
| NPI Enumeration Date: | 08/07/2008 |
| NPI Last Update Date: | 08/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 011810 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| 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 |