Doctor Name: | MS. SUSAN R SNOVER |
NPI Number: | 1992737365 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED D CCC SLP |
License Number: | SA111 |
Business Practice Address: | 710 E Bella Vista St Lakeland, FL - 33805 |
Business Phone Number: | 8636863189 |
Business Fax Number: | 8636821348 |
Mailing Address: | 710 E Bella Vista St, LAKELAND |
State: | FL |
Postal Code: | 33805 |
Phone Number: | 8636863189 |
Fax Number: | 8636821348 |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA111 |
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 |