Provider Demographics
NPI:1659658227
Name:POSTELWAIT, SUSAN E (MS, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:E
Last Name:POSTELWAIT
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2666 INDUSTRIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-7211
Mailing Address - Country:US
Mailing Address - Phone:325-232-7926
Mailing Address - Fax:
Practice Address - Street 1:2666 INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-7211
Practice Address - Country:US
Practice Address - Phone:325-232-7926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-10
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104178235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist