Provider Demographics
NPI:1255670030
Name:SINGLETON, SURANDA (MS CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:SURANDA
Middle Name:
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 UNDERWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-2906
Mailing Address - Country:US
Mailing Address - Phone:267-901-8835
Mailing Address - Fax:215-277-5217
Practice Address - Street 1:3 UNDERWOOD RD
Practice Address - Street 2:
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-2906
Practice Address - Country:US
Practice Address - Phone:267-901-8835
Practice Address - Fax:215-277-5217
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL008317235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist