Provider Demographics
NPI:1811224538
Name:STEINHART, SUSAN (MA, CCC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:STEINHART
Suffix:
Gender:F
Credentials:MA, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9719 S DIXIE HWY STE 18
Mailing Address - Street 2:
Mailing Address - City:PINECREST
Mailing Address - State:FL
Mailing Address - Zip Code:33156-2834
Mailing Address - Country:US
Mailing Address - Phone:305-669-4474
Mailing Address - Fax:305-669-3251
Practice Address - Street 1:9719 S DIXIE HWY STE 18
Practice Address - Street 2:
Practice Address - City:PINECREST
Practice Address - State:FL
Practice Address - Zip Code:33156-2834
Practice Address - Country:US
Practice Address - Phone:305-660-4474
Practice Address - Fax:305-669-3251
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-17
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA65235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist