Provider Demographics
NPI:1972652055
Name:THORPE, SUSAN SALENKO (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:SALENKO
Last Name:THORPE
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:SALENKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10510 ABALONE LANDING TERRACE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130
Mailing Address - Country:US
Mailing Address - Phone:858-876-7570
Mailing Address - Fax:
Practice Address - Street 1:10510 ABALONE LANDING TER
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-8710
Practice Address - Country:US
Practice Address - Phone:858-876-7570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15385235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist