Individual
MRS. SUSAN LANZARA BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
21987 PEEPSOCK RD, HOUGHTON, MI 49931-1048
(603) 547-3311
Mailing address
21987 PEEPSOCK RD, HOUGHTON, MI 49931-1048
(603) 547-3311
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1019
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019
SLP LICENSE
NH
05
—
3076438
—
NH
01
—
7101008644
SLP LICENSE
MI
01
—
SP1706
SLP LICENSE
ME
Enumeration date
11/02/2009
Last updated
04/09/2024
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