Provider Demographics
NPI:1033327051
Name:LOSEY, SUE ANN (ED D, CCC SLP)
Entity Type:Individual
Prefix:DR
First Name:SUE
Middle Name:ANN
Last Name:LOSEY
Suffix:
Gender:F
Credentials:ED D, CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 ALLEN DR
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-4159
Mailing Address - Country:US
Mailing Address - Phone:606-679-2250
Mailing Address - Fax:
Practice Address - Street 1:208 ALLEN DR
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-4159
Practice Address - Country:US
Practice Address - Phone:606-679-2250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY114235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist