Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SUSAN E SHOULDERS, M.S./ CCC-SLP
Active Sole ProprietorMS. SUSAN E SHOULDERS, M.S./ CCC-SLP is a Early Intervention Provider Agency healthcare provider located in MT WASHINGTON, Kentucky. NPI 1033390612 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · MT WASHINGTON, KY
Registration Details
- NPI Number
- 1033390612
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 23, 2007 (18.726953758082 yrs)
- Last Updated
- Feb 7, 2020
- License
-
3419 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1123 N BARDSTOWN RDSUITE #2MT WASHINGTON, KY, 400477843Browse KY providers · Browse ZIP 40047
- Phone
- 5024721194
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
- Additional Specialty
- Developmental Therapist
- Additional Specialty
- Occupational Therapy Assistant
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Speech, Language and Hearing Specialist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.