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NPI Code Detail

MEDICARE: MRS. SUSAN D. PALLADINO MA,CCC,SLP

MEDICARE:  MRS. SUSAN D. PALLADINO  MA,CCC,SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSL002484LPA

General Provider Information

NPI Number : 1629365481
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUSAN D. PALLADINO MA,CCC,SLP
Provider Business Mailing Address
First Line : 1500 OXFORD DR STE 10
Second Line :
City : BETHEL PARK
State : PA
Zip : 15102-1837
Country : US
Telephone Number : 412-692-3440
Fax Number : 412-851-1750
Provider Business Practice Location Address
First Line : 1500 OXFORD DR STE 10
Second Line :
City : BETHEL PARK
State : PA
Zip : 15102-1837
Country : US
Telephone Number : 412-692-3440
Fax Number : 412-851-1750
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2011
Last Update Date : 06/30/2011

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Directions to “ MRS. SUSAN D. PALLADINO MA,CCC,SLP” Practice Location

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