MEDICARE: MRS. SUSAN PROFFITT MEISER 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
1	235Z00000X	Speech-Language Pathologist	4428	OH
2	235Z00000X	Speech-Language Pathologist	3833	KY

General Provider Information

NPI Number	:	1811261100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SUSAN PROFFITT MEISER MA, CCC-SLP

Provider Business Mailing Address
First Line	:	2618 MAPLE TREE CT
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-1157
Country	:	US
Telephone Number	:	513-404-8860
Fax Number	:

Provider Business Practice Location Address
First Line	:	2618 MAPLE TREE CT
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-1157
Country	:	US
Telephone Number	:	513-404-8860
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2012
Last Update Date	:	03/04/2012

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Directions to “ MRS. SUSAN PROFFITT MEISER MA, CCC-SLP” Practice Location

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