Doctor Name: | SUSANNAH HARDY |
NPI Number: | 1891174330 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SLP008899 |
Business Practice Address: | 12010 Etris Rd Suite A150 Roswell, GA - 300751421 |
Business Phone Number: | 7709989599 |
Business Fax Number: | 7706451313 |
Mailing Address: | 410 Kendemere Pointe, ROSWELL |
State: | GA |
Postal Code: | 300757668 |
Phone Number: | 7702983503 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2015 |
NPI Last Update Date: | 05/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP008899 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |