Provider Demographics
NPI:1942246830
Name:GARIEPY, SUSANNAH B (AUD)
Entity Type:Individual
Prefix:DR
First Name:SUSANNAH
Middle Name:B
Last Name:GARIEPY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4714 LAKE CHARLES WAY N
Mailing Address - Street 2:
Mailing Address - City:KENNETH CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33709-3618
Mailing Address - Country:US
Mailing Address - Phone:727-504-7070
Mailing Address - Fax:
Practice Address - Street 1:4714 LAKE CHARLES WAY N
Practice Address - Street 2:
Practice Address - City:KENNETH CITY
Practice Address - State:FL
Practice Address - Zip Code:33709-3618
Practice Address - Country:US
Practice Address - Phone:727-504-7070
Practice Address - Fax:727-767-8998
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1048231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist