Doctor Name: | MRS. SUZANNE C KRAUSE |
NPI Number: | 1629193131 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC SLP |
License Number: | 18459 |
Business Practice Address: | 401 E Front St Suite 123 Tyler, TX - 757028213 |
Business Phone Number: | 9035312581 |
Business Fax Number: | 9035312451 |
Mailing Address: | 401 E Front St, Suite 123 TYLER |
State: | TX |
Postal Code: | 757028213 |
Phone Number: | 9035312581 |
Fax Number: | 9035312451 |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 12/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 18459 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |