Doctor Name: | MRS. SUSAN BILLIE HOME |
NPI Number: | 1598893620 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., M.MA |
License Number: | SP - 5614 |
Business Practice Address: | 4329 Green Rd Highland Hills, OH - 441284884 |
Business Phone Number: | 2164640950 |
Business Fax Number: | 2164647342 |
Mailing Address: | 8402 Lucerne Dr, CHAGRIN FALLS |
State: | OH |
Postal Code: | 440234604 |
Phone Number: | 4405435571 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP - 5614 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |