Provider Demographics
NPI:1740427533
Name:HOWLETT, SUSAN J (MA CCC/SLP)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:J
Last Name:HOWLETT
Suffix:
Gender:F
Credentials:MA CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 CANVASBACK CIR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19933-2428
Mailing Address - Country:US
Mailing Address - Phone:302-670-1055
Mailing Address - Fax:
Practice Address - Street 1:32 CANVASBACK CIR
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:DE
Practice Address - Zip Code:19933-2428
Practice Address - Country:US
Practice Address - Phone:302-670-1055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-15
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE01-0001085235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist