Doctor Name: | MS. SUSAN T. WEG |
NPI Number: | 1811988546 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC(SP) |
License Number: | 003093 |
Business Practice Address: | 32 Herrick Dr Lawrence, NY - 115591528 |
Business Phone Number: | 5162392241 |
Business Fax Number: | 5162392241 |
Mailing Address: | 32 Herrick Dr, LAWRENCE |
State: | NY |
Postal Code: | 115591528 |
Phone Number: | 5162392241 |
Fax Number: | 5162392241 |
NPI Enumeration Date: | 11/02/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 003093 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |