Individual
SUSAN KATHRYN CARKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
10273 YELLOW CIRCLE DR, HOPKINS, MN 55343-9144
(952) 401-9359
Mailing address
242 MUDDY CREEK CHURCH RD, DENVER, PA 17517-9328
(717) 336-3873
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10403
MN
235Z00000X
Speech-Language Pathologist
SL008123
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013656710001
—
PA
Enumeration date
02/22/2007
Last updated
01/19/2021
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