Provider Demographics
NPI:1891095022
Name:RUHLIN, SUSAN ULRICH (MA CCC SLP)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:ULRICH
Last Name:RUHLIN
Suffix:
Gender:F
Credentials: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 1:3089 STATE RD
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-9269
Mailing Address - Country:US
Mailing Address - Phone:330-239-1890
Mailing Address - Fax:
Practice Address - Street 1:POLSKY 181
Practice Address - Street 2:THE UNIVERSITY OF AKRON AUDIOLOGY AND SPEECH CENTER,
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44325-3001
Practice Address - Country:US
Practice Address - Phone:330-972-6117
Practice Address - Fax:330-972-7884
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-21
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.2458235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist