# SUSANNAH M WOOLWAY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154427102
- **Gender:** F
- **Credential:** CCC SLP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | HISP659 | HI | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 08/13/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00A0264877 | HMSA | HI |
| 01 | — | 01104834 | ASHA | — |
| 01 | — | DU789Z | MEDICARE | HI |