Provider Demographics
NPI:1982868089
Name:VERBLE, SUZANNE (MS, CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:
Last Name:VERBLE
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 GREENHAVEN CT
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-8148
Mailing Address - Country:US
Mailing Address - Phone:270-765-9745
Mailing Address - Fax:270-209-0702
Practice Address - Street 1:790 N DIXIE AVE STE 801
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-2473
Practice Address - Country:US
Practice Address - Phone:270-765-9745
Practice Address - Fax:270-209-0702
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2679235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist