Provider Demographics
NPI:1851505820
Name:WRANIK, SUSAN IRENE (MS, MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:IRENE
Last Name:WRANIK
Suffix:
Gender:F
Credentials:MS, 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 1:3508 PRESTON CT
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-5741
Mailing Address - Country:US
Mailing Address - Phone:301-907-0740
Mailing Address - Fax:
Practice Address - Street 1:3508 PRESTON CT
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815
Practice Address - Country:US
Practice Address - Phone:301-907-0740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12088482 ASHA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist