Provider Demographics
NPI:1750677480
Name:DIIORIO, SUZY LYN (MS/CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SUZY
Middle Name:LYN
Last Name:DIIORIO
Suffix:
Gender:F
Credentials:MS/CCC-SLP
Other - Prefix:MISS
Other - First Name:SUZY
Other - Middle Name:LYN
Other - Last Name:JOSSELYN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS/CCC-SLP
Mailing Address - Street 1:19 DANIEL DRIVE
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844
Mailing Address - Country:US
Mailing Address - Phone:908-310-4760
Mailing Address - Fax:609-921-1065
Practice Address - Street 1:219 WALL STREET
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540
Practice Address - Country:US
Practice Address - Phone:908-310-4760
Practice Address - Fax:609-921-1065
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00433700235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist