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Organization

SPEECH LANGUAGE AND AUDITORY LEARNING

Active
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Organization

SPEECH LANGUAGE AND AUDITORY LEARNING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SUZANNE HERMAN M. ED., CCC-SLP (SPEECH PATHOLOGIST)
(903) 581-5421
Entity
Organization

Contact information

Practice address
5528 OLD BULLARD RD, SUITE 103, TYLER, TX 75703-4362
(903) 581-5421
(903) 581-4515
Mailing address
5528 OLD BULLARD RD, SUITE 103, TYLER, TX 75703-4362
(903) 581-5421
(903) 581-4515

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11594
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005616001
TX
01
0072EL
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/09/2007
Last updated
07/03/2008
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