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NPI Code Detail

MEDICARE: DR. SUSAN FIEDLS BOOK CCC-SLP

MEDICARE:  DR. SUSAN FIEDLS BOOK  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 PathologistSP.9037OH

General Provider Information

NPI Number : 1811128937
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN FIEDLS BOOK CCC-SLP
Provider Business Mailing Address
First Line : 225 W MAIN STREET
Second Line :
City : SHELBY
State : OH
Zip : 44875-1412
Country : US
Telephone Number : 419-347-1503
Fax Number : 419-347-1503
Provider Business Practice Location Address
First Line : 225 W MAIN ST
Second Line :
City : SHELBY
State : OH
Zip : 44875-1412
Country : US
Telephone Number : 419-347-1503
Fax Number : 419-347-1503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2009
Last Update Date : 08/06/2009

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Directions to “ DR. SUSAN FIEDLS BOOK CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.