Provider Demographics
NPI:1881777886
Name:MEIER, SUSAN M (MA CCCSLP)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:M
Last Name:MEIER
Suffix:
Gender:F
Credentials:MA CCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:139 CAMPUS CREEK COMPLEX
Mailing Address - Street 2:KSU SPEECH AND HEARING CENTER
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66506-7500
Mailing Address - Country:US
Mailing Address - Phone:785-532-6879
Mailing Address - Fax:785-532-6523
Practice Address - Street 1:139 CAMPUS CREEK COMPLEX
Practice Address - Street 2:KSU SPEECH AND HEARING CENTER
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66506-7500
Practice Address - Country:US
Practice Address - Phone:785-532-6879
Practice Address - Fax:785-532-6523
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS616235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
115183Medicare UPIN