Doctor Name: | MRS. SUSAN MARIE ABERNATHY |
NPI Number: | 1487969556 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 104631 |
Business Practice Address: | 1 Village Square Ctr Suite A Hazelwood, MO - 630421817 |
Business Phone Number: | 3147314555 |
Business Fax Number: | 3145516110 |
Mailing Address: | 1 Village Square Ctr, Suite A HAZELWOOD |
State: | MO |
Postal Code: | 630421817 |
Phone Number: | 3147314555 |
Fax Number: | 3145516110 |
NPI Enumeration Date: | 08/13/2010 |
NPI Last Update Date: | 08/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 104631 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |