Doctor Name: | MS. SUSANN TATTINI SCHICK |
NPI Number: | 1760735666 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 13105 |
Business Practice Address: | 3444 Fairesta St La Crescenta, CA - 912141836 |
Business Phone Number: | 8183885298 |
Business Fax Number: | |
Mailing Address: | 3444 Fairesta St, LA CRESCENTA |
State: | CA |
Postal Code: | 912141836 |
Phone Number: | 8183885298 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2012 |
NPI Last Update Date: | 10/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 13105 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |