Doctor Name: | SUSANNE COLEMAN |
NPI Number: | 1619158763 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 05623/659866 |
Business Practice Address: | 551 W Lancaster Ave Haverford, PA - 190411419 |
Business Phone Number: | 6105261974 |
Business Fax Number: | |
Mailing Address: | 6203 Wagner Ln, BETHESDA |
State: | MD |
Postal Code: | 208161028 |
Phone Number: | 2157206634 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2007 |
NPI Last Update Date: | 11/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 05623/659866 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |