Individual
MRS. SUSAN H NIEMCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
201 ARCHIE CANNON DR, ASHLAND, VA 23005-1247
(804) 365-4640
(804) 752-4983
Mailing address
201 ARCHIE CANNON DR, ASHLAND, VA 23005-1247
(804) 365-4640
(804) 752-4983
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004214
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004978382
—
VA
Enumeration date
07/18/2008
Last updated
08/22/2024
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