| Doctor Name: | SUSAN B MUNROE |
| NPI Number: | 1396742920 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | 001219 |
| Business Practice Address: | 850 Bolton Rd Storrs, CT - 062699020 |
| Business Phone Number: | 8604862629 |
| Business Fax Number: | 8604865422 |
| Mailing Address: | 263 Farmington Ave, Provider Enrollment FARMINGTON |
| State: | CT |
| Postal Code: | 060302212 |
| Phone Number: | 8606797503 |
| Fax Number: | 8606791610 |
| NPI Enumeration Date: | 06/28/2005 |
| NPI Last Update Date: | 06/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 001219 |
| 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 |