Doctor Name: | MRS. SUSAN CAROL MOLITOR |
NPI Number: | 1326187303 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | 0000002293 |
Business Practice Address: | 9040 Executive Park Dr Suite 102 Knoxville, TN - 379234640 |
Business Phone Number: | 8659386648 |
Business Fax Number: | 8657690801 |
Mailing Address: | 9040 Executive Park Dr, Suite 102 KNOXVILLE |
State: | TN |
Postal Code: | 379234640 |
Phone Number: | 8659386648 |
Fax Number: | 8657690801 |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0000002293 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |