Individual
SUSAN B CHARNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ITDS
Contact information
Practice address
10719 NW 49TH MNR, CORAL SPRINGS, FL 33076-2707
(954) 234-0951
(954) 755-2782
Mailing address
10719 NW 49TH MNR, CORAL SPRINGS, FL 33076-2707
(954) 234-0951
(954) 755-2782
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8117918
—
FL
Enumeration date
01/01/2007
Last updated
07/08/2007
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