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Individual
MS. SUSAN WILLIAMS STANLEY
Active
Individual
MS. SUSAN WILLIAMS STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC, SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14448
TX
235Z00000X
Speech-Language Pathologist
SP494
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01070105
ASHA CERTIFICATION
—
01
—
80093T
TEXAS BCBS
TX
01
—
98946
ARKANSAS BCBS
AR
Enumeration date
11/09/2006
Last updated
07/09/2007
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