Provider Demographics
NPI:1760545404
Name:COYLE, SUZANNE (SLP)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:COYLE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:
Other - Last Name:REDMOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:6410 ROCKLEDGE DR
Mailing Address - Street 2:NRH REGIONAL REHAB - SUITE 600
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1809
Mailing Address - Country:US
Mailing Address - Phone:301-581-8054
Mailing Address - Fax:301-564-0284
Practice Address - Street 1:6410 ROCKLEDGE DR
Practice Address - Street 2:NRH REGIONAL REHAB - SUITE 600
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1809
Practice Address - Country:US
Practice Address - Phone:301-581-8054
Practice Address - Fax:301-564-0284
Is Sole Proprietor?:No
Enumeration Date:2006-12-17
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202004846235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist