Doctor Name: | MRS. SUZANNE PUBAL |
NPI Number: | 1245652973 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP8388 |
Business Practice Address: | 44350 Fairground Rd Caldwell, OH - 437249677 |
Business Phone Number: | 7407324614 |
Business Fax Number: | |
Mailing Address: | 70806 Kagg Hill Rd, SAINT CLAIRSVILLE |
State: | OH |
Postal Code: | 439509604 |
Phone Number: | 7403591777 |
Fax Number: | |
NPI Enumeration Date: | 01/15/2014 |
NPI Last Update Date: | 01/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP8388 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |