Doctor Name: | SUSANNE FAULKNER LILJEGREN |
NPI Number: | 1881950947 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | LL60273869 |
Business Practice Address: | 7606 40th Street Ct Nw Gig Harbor, WA - 983356537 |
Business Phone Number: | 2535495216 |
Business Fax Number: | |
Mailing Address: | 7606 40th Street Ct Nw, GIG HARBOR |
State: | WA |
Postal Code: | 983356537 |
Phone Number: | 2535495216 |
Fax Number: | |
NPI Enumeration Date: | 04/03/2012 |
NPI Last Update Date: | 08/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL60273869 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |