Individual
SUSANNE STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2300 BELLEVIEW AVE, CHEVERLY, MD 20785-3004
(240) 535-2571
Mailing address
6116 43RD ST, HYATTSVILLE, MD 20781-1408
(202) 714-7813
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00275
MD
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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