Provider Demographics
NPI:1205992427
Name:CALANTONI, SUSAN (MS, FAAA)
Entity type:Individual
Prefix:MISS
First Name:SUSAN
Middle Name:
Last Name:CALANTONI
Suffix:
Gender:F
Credentials:MS, FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 BELVIDERE ST
Mailing Address - Street 2:
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-2104
Mailing Address - Country:US
Mailing Address - Phone:610-746-2178
Mailing Address - Fax:
Practice Address - Street 1:8380 OLD YORK RD
Practice Address - Street 2:SUITE 110B
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1539
Practice Address - Country:US
Practice Address - Phone:215-886-8660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT005906231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist