National Provider Identifier

Suzanne D. Smith, SLP

Suzanne D. Smith, SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Painted Post, NY and a listed phone number of (607) 962-3175.

NPI 1083997522Painted Post, NYSpeech-Language Pathologist

Profile Overview

NPI
1083997522
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
September 21, 2011
Last Updated
January 17, 2014

Practice Location

  • 9579 Vocational Dr
  • Painted Post, NY 14870-9043

Phone: (607) 962-3175

Mailing Address

  • 9579 Vocational Drive
  • Coopers Campus
  • Painted Post, NY 14870

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1083997522
Entity Type
Individual
Last Name
Smith
First Name
Suzanne
Middle Name
D.
Name Prefix
Mrs.
Credential
SLP
Mailing Street Address
9579 Vocational Drive
Mailing Address Line 2
Coopers Campus
Mailing City
Painted Post
Mailing State
NY
Mailing ZIP Code
14870
Mailing Country
US
Mailing Phone
(607) 776-6788
Mailing Fax
(607) 654-2304
Practice Street Address
9579 Vocational Dr
Practice City
Painted Post
Practice State
NY
Practice ZIP Code
14870-9043
Practice Country
US
Practice Phone
(607) 962-3175
Enumeration Date
September 21, 2011
Last Updated
January 17, 2014
Deactivation Date
October 31, 2011
Reactivation Date
October 23, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)
Other Identifiers
011476-1 (NY, Nys License)