Doctor Name: | SUSAN VERONICA STEWART |
NPI Number: | 1265753685 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-S |
License Number: | 004208 |
Business Practice Address: | 7 Wembley Ct Albany, NY - 122053851 |
Business Phone Number: | 5184646302 |
Business Fax Number: | |
Mailing Address: | 414 Sanders Ave, SCOTIA |
State: | NY |
Postal Code: | 123021732 |
Phone Number: | 5183749802 |
Fax Number: | |
NPI Enumeration Date: | 06/21/2010 |
NPI Last Update Date: | 06/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 004208 |
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 |