Individual
MRS. SUSAN MICHELLE SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
530 MULBERRY AVE, SELMER, TN 38375-2423
(423) 622-1551
Mailing address
16305 LAND DR, HARVEST, AL 35749-7353
(256) 233-1166
(256) 852-1141
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2403
AL
235Z00000X
Speech-Language Pathologist
Primary
6915
TN
Other
Enumeration date
09/20/2006
Last updated
05/11/2020
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