Individual
KRISTEN ANNALIZE SUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21000 E 12 MILE RD STE 111, SAINT CLAIR SHORES, MI 48081-1156
(586) 779-7610
Mailing address
823 MCLEAN AVE, ROYAL OAK, MI 48067-3429
(505) 412-1283
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
09/14/2020
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