Provider Demographics
NPI:1760613384
Name:STRANGE, SUZANNE (MED)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:
Last Name:STRANGE
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ISAAC LUCAS CIR
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-4910
Mailing Address - Country:US
Mailing Address - Phone:603-512-9955
Mailing Address - Fax:
Practice Address - Street 1:8 ISAAC LUCAS CIR
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-4910
Practice Address - Country:US
Practice Address - Phone:603-512-9955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0159235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist