Doctor Name: | MRS. SUZANNE MAE COLUMBIA |
NPI Number: | 1700135993 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | C63137287456844 |
Business Practice Address: | 256 E Crescent Ave Mahwah, NJ - 074301582 |
Business Phone Number: | 7243512144 |
Business Fax Number: | |
Mailing Address: | 256 E Crescent Ave, MAHWAH |
State: | NJ |
Postal Code: | 074301582 |
Phone Number: | 7243512144 |
Fax Number: | |
NPI Enumeration Date: | 09/03/2012 |
NPI Last Update Date: | 09/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | C63137287456844 |
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 |