Provider Demographics
NPI:1922503077
Name:SUHR, KERI LYN
Entity Type:Individual
Prefix:
First Name:KERI
Middle Name:LYN
Last Name:SUHR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16501 NE 15TH AVE APT 51
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:WA
Mailing Address - Zip Code:98642-4205
Mailing Address - Country:US
Mailing Address - Phone:509-863-6153
Mailing Address - Fax:
Practice Address - Street 1:20601 NE 167TH AVE
Practice Address - Street 2:
Practice Address - City:BATTLE GROUND
Practice Address - State:WA
Practice Address - Zip Code:98604-3653
Practice Address - Country:US
Practice Address - Phone:360-885-6221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-29
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist