Individual
MS. SUSAN E SHOULDERS
Active
Individual
MS. SUSAN E SHOULDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S./ CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
222Q00000X
Developmental Therapist
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
3419
KY
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/23/2007
Last updated
02/07/2020
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