Individual
CHINNU SUSAN MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10610 METRIC DR, SUITE 101, DALLAS, TX 75243-5581
(214) 221-4405
Mailing address
2200 WOODBERRY DR, FORNEY, TX 75126-4061
(972) 814-1476
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
39109
TX
Other
Enumeration date
01/31/2016
Last updated
01/31/2016
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