Provider Demographics
NPI:1881834042
Name:RABIOR, SUSAN C (MA CCC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:C
Last Name:RABIOR
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 1:2650 MCCARTY RD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2554
Mailing Address - Country:US
Mailing Address - Phone:989-793-2701
Mailing Address - Fax:989-793-3915
Practice Address - Street 1:2650 MCCARTY RD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-2554
Practice Address - Country:US
Practice Address - Phone:989-793-2701
Practice Address - Fax:989-793-3915
Is Sole Proprietor?:No
Enumeration Date:2009-03-02
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000107231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist