Individual
SUZANNE ELAINE SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Contact information
Practice address
1275 N SEWELL RD, BLOOMINGTON, IN 47408-9414
(812) 335-1091
(812) 334-9107
Mailing address
1275 N SEWELL RD, BLOOMINGTON, IN 47408-9414
(812) 335-1091
(812) 334-9107
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002291A
IN
Other
Enumeration date
05/12/2007
Last updated
07/08/2007
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