Provider Demographics
NPI:1376547778
Name:APPLEMAN, SUSANNE (MA, CCC)
Entity Type:Individual
Prefix:MRS
First Name:SUSANNE
Middle Name:
Last Name:APPLEMAN
Suffix:
Gender:F
Credentials:MA, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5513 E GROVERS AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5829
Mailing Address - Country:US
Mailing Address - Phone:602-791-3646
Mailing Address - Fax:602-358-8278
Practice Address - Street 1:8669 E SAN ALBERTO DR
Practice Address - Street 2:STE 102
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4309
Practice Address - Country:US
Practice Address - Phone:602-791-3646
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP0463235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist