MRS. Samantha Dale Sussky, MA CCC-SLP

NPI #1710117601 in Canton, Ohio

Provider Information

NPI Number: 1710117601
Entity Type: Individual
Name: MRS. Samantha Dale Sussky, MA CCC-SLP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Speech-Language Pathologist
Credential: MA CCC-SLP
Enumeration Date: Jul 26, 2009
Last Updated: Jul 26, 2009

Practice Location

Address: 800 MARKET AVE N
City: Canton
State: Ohio
ZIP Code: 44702-1083
Phone: (330) 452-1699

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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