Provider Demographics
NPI:1083862148
Name:SUMINSKI, STEVEN DARYL (BC-HIS)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:DARYL
Last Name:SUMINSKI
Suffix:
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 N MAIN ST STE 101A
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-6607
Mailing Address - Country:US
Mailing Address - Phone:843-681-6070
Mailing Address - Fax:843-681-6673
Practice Address - Street 1:23 N MAIN ST STE 101A
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-6607
Practice Address - Country:US
Practice Address - Phone:843-681-6070
Practice Address - Fax:843-681-6673
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS2614237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist