Individual
MS. SUSAN IRVING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
12 FINLAY RD, FISKDALE, MA 01518-1239
(203) 837-7176
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03-283897
CT
235Z00000X
Speech-Language Pathologist
2839
MA
Other
Enumeration date
04/20/2012
Last updated
07/04/2023
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