Provider Demographics
NPI:1336310861
Name:TONETTI, SUZANNE M (CCC-A)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:M
Last Name:TONETTI
Suffix:
Gender:F
Credentials:CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 CREAMERY WAY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2533
Mailing Address - Country:US
Mailing Address - Phone:610-384-8300
Mailing Address - Fax:610-384-8885
Practice Address - Street 1:460 CREAMERY WAY
Practice Address - Street 2:SUITE 103
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2533
Practice Address - Country:US
Practice Address - Phone:610-384-8300
Practice Address - Fax:610-384-8885
Is Sole Proprietor?:No
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT005914237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter