National Provider Identifier
Suzanne Katherine Green, SLP
Suzanne Katherine Green, SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Ithaca, NY and a listed phone number of (607) 351-1006.
Profile Overview
- NPI
- 1073745097
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- August 10, 2009
- Last Updated
- August 10, 2009
Practice Location
- 48 Marsh RD
- Ithaca, NY 14850-9434
Phone: (607) 351-1006
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1073745097
- Entity Type
- Individual
- Last Name
- Green
- First Name
- Suzanne
- Middle Name
- Katherine
- Credential
- SLP
- Mailing Street Address
- 48 Marsh RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-9434
- Mailing Country
- US
- Mailing Phone
- (607) 351-1006
- Practice Street Address
- 48 Marsh RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-9434
- Practice Country
- US
- Practice Phone
- (607) 351-1006
- Enumeration Date
- August 10, 2009
- Last Updated
- August 10, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)