Doctor Name: | MS. SUZANNE MICHELLE WILEY |
NPI Number: | 1518154673 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 41YS00351100 |
Business Practice Address: | 246 Cupsaw Dr Ringwood, NJ - 074562322 |
Business Phone Number: | 9738188511 |
Business Fax Number: | 9735565526 |
Mailing Address: | 246 Cupsaw Dr, RINGWOOD |
State: | NJ |
Postal Code: | 074562322 |
Phone Number: | 9738188511 |
Fax Number: | 9735565526 |
NPI Enumeration Date: | 10/02/2007 |
NPI Last Update Date: | 10/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00351100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |