Healthcare Provider Details

I. General information

NPI: 1932027968
Provider Name (Legal Business Name): SUZANNE MARIE SOWLE MS, SLP-CF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2333 AVENIDA MAREJADA
SAN CLEMENTE CA
92673-3628
US

IV. Provider business mailing address

2333 AVENIDA MAREJADA
SAN CLEMENTE CA
92673-3628
US

V. Phone/Fax

Practice location:
  • Phone: 760-945-6500
  • Fax: 760-945-6535
Mailing address:
  • Phone: 760-945-6500
  • Fax: 760-945-6535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number21964
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: