Provider Demographics
NPI:1336713114
Name:VALENSKY, SUSAN (MA, CF-SLP)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:VALENSKY
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4849 HILLWAY CT
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9441
Mailing Address - Country:US
Mailing Address - Phone:734-330-1950
Mailing Address - Fax:
Practice Address - Street 1:415 MUNSON AVE
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49686-3059
Practice Address - Country:US
Practice Address - Phone:231-486-6330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-17
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist