Organization
EASTER SEALS OF SOUTH FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY SUSSKIND MA CCC-SLP (DIRECTOR OUTPATIENT MEDICAL REHAB.)
(954) 792-8772
Entity
Organization
Contact information
Practice address
12701 W SUNRISE BLVD, SUNRISE, FL 33323-0907
(954) 792-8772
(954) 791-8275
Mailing address
10507 NW 10TH CT, PLANTATION, FL 33322-6595
(954) 693-3520
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA4862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889844800
—
FL
Enumeration date
04/11/2007
Last updated
07/14/2008
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