Provider Demographics
NPI:1013316090
Name:LIM, SULING (SLP)
Entity Type:Individual
Prefix:
First Name:SULING
Middle Name:
Last Name:LIM
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1377 E WINDSOR RD
Mailing Address - Street 2:APT 103
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-2626
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1377 E WINDSOR RD
Practice Address - Street 2:APT 103
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-2626
Practice Address - Country:US
Practice Address - Phone:513-377-7071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-15
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21243235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist