Individual
SUZANNE MARIE O'HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2719 E IOWA AVE, NAMPA, ID 83686-7184
(323) 632-4353
Mailing address
2719 E IOWA AVE, NAMPA, ID 83686-7184
(323) 632-4353
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-4436
ID
Other
Enumeration date
09/01/2017
Last updated
12/09/2020
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