Individual
MRS. HOLLY ANN SUSZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC,SLP
Contact information
Practice address
960 S RAPIDS RD, MANITOWOC, WI 54220-4146
(920) 684-1144
Mailing address
3904 WILDWOOD DR, MANITOWOC, WI 54220-2357
(608) 215-8204
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2858154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42581400
—
WI
Enumeration date
05/10/2007
Last updated
04/21/2015
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