National Provider Identifier

Susan E Berg, SLP

Susan E Berg, SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Kenmore, NY and a listed phone number of (716) 871-9883.

NPI 1730201963Kenmore, NYSpeech-Language Pathologist

Profile Overview

NPI
1730201963
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
April 06, 2007
Last Updated
July 08, 2007

Practice Location

  • 2565 Elmwood Ave
  • Kenmore, NY 14217-1939

Phone: (716) 871-9883

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1730201963
Entity Type
Individual
Last Name
Berg
First Name
Susan
Middle Name
E
Credential
SLP
Mailing Street Address
2565 Elmwood Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-1939
Mailing Country
US
Mailing Phone
(716) 871-9883
Mailing Fax
(716) 871-9887
Practice Street Address
2565 Elmwood Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1939
Practice Country
US
Practice Phone
(716) 871-9883
Practice Fax
(716) 871-9887
Enumeration Date
April 06, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)