Individual
MRS. SUZANNE CHRISTINE CRISTODERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
22350 HWY 1084, COVINGTON, LA 70435
(985) 630-2438
(985) 898-0701
Mailing address
22350 HWY 1084, COVINGTON, LA 70435
(985) 630-2438
(985) 898-0701
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12032884
—
235Z00000X
Speech-Language Pathologist
Primary
5007
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1478121
—
LA
Enumeration date
03/26/2007
Last updated
07/08/2007
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