Provider Demographics
NPI:1275799538
Name:GRAFMAN, SUSAN (HIS)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:
Last Name:GRAFMAN
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 N SPARKS ST
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-1960
Mailing Address - Country:US
Mailing Address - Phone:818-842-8951
Mailing Address - Fax:
Practice Address - Street 1:750 N COMMONS DR STE 200
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-7940
Practice Address - Country:US
Practice Address - Phone:800-675-5485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-05
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA7358237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist