Doctor Name: | CONNIE SOUKUP |
NPI Number: | 1942625934 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP-3253 |
Business Practice Address: | 1156 4th Ave Akron, OH - 443061655 |
Business Phone Number: | 3307612785 |
Business Fax Number: | 3307615566 |
Mailing Address: | 1156 4th Ave, AKRON |
State: | OH |
Postal Code: | 443061655 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/27/2014 |
NPI Last Update Date: | 02/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP-3253 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |