Provider Demographics
NPI:1245943422
Name:HOWARD, SUZIE YOUNG (MS)
Entity type:Individual
Prefix:
First Name:SUZIE
Middle Name:YOUNG
Last Name:HOWARD
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8648 BIRCHBARK DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-2724
Mailing Address - Country:US
Mailing Address - Phone:513-546-9815
Mailing Address - Fax:
Practice Address - Street 1:7300 DEARWESTER DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-6119
Practice Address - Country:US
Practice Address - Phone:513-984-9400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-03
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.15654235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist