Individual
MRS. CATHI THEA SUSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA/SLP
Contact information
Practice address
200 EMORY RD, MINEOLA, NY 11501-2363
(516) 237-2548
(516) 237-2508
Mailing address
200 EMORY RD, MINEOLA, NY 11501-2363
(516) 237-2548
(516) 237-2508
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
018695-1
NY
251300000X
Local Education Agency (LEA)
Primary
018695-1
NY
Other
Enumeration date
10/18/2011
Last updated
10/19/2011
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