Provider Demographics
NPI:1942266820
Name:BARSLUND, SUZANNE M (MS,CCC-SLP,ATP)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:M
Last Name:BARSLUND
Suffix:
Gender:F
Credentials:MS,CCC-SLP,ATP
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:M
Other - Last Name:HOMIAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS,CCC-SLP
Mailing Address - Street 1:924 HERMOSA DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-7710
Mailing Address - Country:US
Mailing Address - Phone:505-463-3721
Mailing Address - Fax:505-256-5705
Practice Address - Street 1:1501 SAN PEDRO DR NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-6731
Practice Address - Country:US
Practice Address - Phone:505-265-1711
Practice Address - Fax:505-256-5704
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM772235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist