| Doctor Name: | SUSAN REYNOLDS POULIOT |
| NPI Number: | 1811268832 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | SA2741 |
| Business Practice Address: | 1550 Jess Parrish Ct Titusville, FL - 327962147 |
| Business Phone Number: | 3212692200 |
| Business Fax Number: | |
| Mailing Address: | 825 Parkwood Ave, TITUSVILLE |
| State: | FL |
| Postal Code: | 327962280 |
| Phone Number: | 3213838015 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2012 |
| NPI Last Update Date: | 01/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA2741 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |