Provider Demographics
NPI:1013160225
Name:YAO, SUSAN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:
Last Name:YAO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:YAO-TRESGUERRES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:2500 MOWRY AVE
Mailing Address - Street 2:WASHINGTON HOSPITAL, ATTN: SPEECH THERAPY
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1605
Mailing Address - Country:US
Mailing Address - Phone:510-791-3450
Mailing Address - Fax:
Practice Address - Street 1:2500 MOWRY AVE
Practice Address - Street 2:WASHINGTON HOSPITAL, ATTN: SPEECH THERAPY
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1605
Practice Address - Country:US
Practice Address - Phone:510-791-3450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-31
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist