Provider Demographics
NPI:1184065195
Name:KAPPEL KRANZ, SUSAN (MA)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:
Last Name:KAPPEL KRANZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:KAPPEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:36 GLENBROOK RD
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-1310
Mailing Address - Country:US
Mailing Address - Phone:610-290-2469
Mailing Address - Fax:
Practice Address - Street 1:36 GLENBROOK RD
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-1310
Practice Address - Country:US
Practice Address - Phone:610-290-2469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022875-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist