Doctor Name: | SUZANA PAULOS |
NPI Number: | 1265770267 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 004590 |
Business Practice Address: | 1300 Post Rd Ste 204 Fairfield, CT - 068246038 |
Business Phone Number: | 2032553669 |
Business Fax Number: | 2032543790 |
Mailing Address: | 1300 Post Road Suite 204, Center For Pediatric Therapy FAIRFIELD |
State: | CT |
Postal Code: | 06824 |
Phone Number: | 2032553669 |
Fax Number: | 2032543790 |
NPI Enumeration Date: | 01/25/2013 |
NPI Last Update Date: | 01/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 004590 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |