Provider Demographics
NPI:1346481595
Name:SCHUETTLER, SUSAN S (MS CCC SL/P)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:S
Last Name:SCHUETTLER
Suffix:
Gender:F
Credentials:MS CCC SL/P
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:300 SCHUYLKILL MEDICAL PLZ
Mailing Address - Street 2:
Mailing Address - City:POTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17901-3668
Mailing Address - Country:US
Mailing Address - Phone:570-621-9500
Mailing Address - Fax:570-621-9510
Practice Address - Street 1:300 SCHUYLKILL MEDICAL PLZ
Practice Address - Street 2:
Practice Address - City:POTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17901-3668
Practice Address - Country:US
Practice Address - Phone:570-621-9500
Practice Address - Fax:570-621-9510
Is Sole Proprietor?:No
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL000084L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist