Individual
SUSAN WATKINS FRATANDUONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7096 GENE WAYNE LN, NEW CHURCH, VA 23415
(757) 824-4734
Mailing address
7096 GENE WAYNE LN, NEW CHURCH, VA 23415
(757) 824-4734
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0094271
NY
235Z00000X
Speech-Language Pathologist
05984
MD
Other
Enumeration date
02/01/2009
Last updated
07/29/2009
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