Provider Demographics
NPI:1326396607
Name:KLEYPAS, SUSAN CLINE (MS, EDS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:CLINE
Last Name:KLEYPAS
Suffix:
Gender:F
Credentials:MS, EDS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 WESTLAND ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76901-3051
Mailing Address - Country:US
Mailing Address - Phone:325-340-4020
Mailing Address - Fax:325-617-7809
Practice Address - Street 1:105 WESTLAND ST
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76901-3051
Practice Address - Country:US
Practice Address - Phone:325-340-4020
Practice Address - Fax:325-617-7809
Is Sole Proprietor?:No
Enumeration Date:2012-08-17
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17779235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist