Provider Demographics
NPI:1255718177
Name:RITCHAL, SUZANNE (MA, CCC-SLP/L)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:RITCHAL
Suffix:
Gender:F
Credentials:MA, CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14425 N PENN AVE UNIT 20G
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-6026
Mailing Address - Country:US
Mailing Address - Phone:405-919-1461
Mailing Address - Fax:
Practice Address - Street 1:14425 N PENN AVE UNIT 20G
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-6026
Practice Address - Country:US
Practice Address - Phone:405-919-1461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-29
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist