Provider Demographics
NPI:1265547228
Name:FOLEY, SUZANNE M (MS, CCC-A)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:M
Last Name:FOLEY
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7440 N SHADELAND AVE STE 115
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2985
Mailing Address - Country:US
Mailing Address - Phone:317-573-4445
Mailing Address - Fax:317-577-7330
Practice Address - Street 1:7440 N SHADELAND AVE STE 115
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-2985
Practice Address - Country:US
Practice Address - Phone:317-573-4445
Practice Address - Fax:317-577-7330
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23002045A231HA2400X, 237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter