Individual provider · NPI-1

Susanna Chertcow, MS, CCC-SLP

Speech-Language Pathologist, · Palm Coast, FL

NPI number1881332492
StatusActive
Last updated in NPPESMay 24, 2022

Details

NPI
1881332492
Entity type
Individual (NPI-1)
Name
Susanna Chertcow
Credential
MS, CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
May 24, 2022
Certification date
May 23, 2022
Last updated
May 24, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SA16770FLYes

Practice location

4875 Palm Coast Pkwy Nw Unit 2
Palm Coast, FL 32137-3671

Phone 386-446-9935 · Fax 386-446-7777

Mailing address

1356 Ferendina Dr
Deltona, FL 32725-4724

Phone 386-456-8547

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