Doctor Name: | SUSAN LORAINE KEIDERLING |
NPI Number: | 1679753867 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 010001003 |
Business Practice Address: | 101 Manning Dr Chapel Hill, NC - 275144220 |
Business Phone Number: | 9199668047 |
Business Fax Number: | |
Mailing Address: | 101 Manning Dr, CHAPEL HILL |
State: | NC |
Postal Code: | 275144220 |
Phone Number: | 9199668047 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2007 |
NPI Last Update Date: | 04/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 010001003 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
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 |