Provider Demographics
NPI:1144228727
Name:LINDHORST, SUZANNE LOUISE SHARE (MA, CCC-LSP)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:LOUISE SHARE
Last Name:LINDHORST
Suffix:
Gender:F
Credentials:MA, CCC-LSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14824 CLAYTON RD
Mailing Address - Street 2:SUITE 23
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-7888
Mailing Address - Country:US
Mailing Address - Phone:636-256-4858
Mailing Address - Fax:636-256-4858
Practice Address - Street 1:14824 CLAYTON RD
Practice Address - Street 2:SUITE 23
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-7888
Practice Address - Country:US
Practice Address - Phone:636-256-4858
Practice Address - Fax:636-256-4858
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO00967235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist