Provider Demographics
NPI:1194170472
Name:DENNEY, SUSAN (HAS)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:DENNEY
Suffix:
Gender:F
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8050 N 9TH AVE APT 49
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-6464
Mailing Address - Country:US
Mailing Address - Phone:205-294-0155
Mailing Address - Fax:
Practice Address - Street 1:701 FORREST AVE
Practice Address - Street 2:
Practice Address - City:EAST BREWTON
Practice Address - State:AL
Practice Address - Zip Code:36426-2520
Practice Address - Country:US
Practice Address - Phone:251-314-1216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-25
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2281237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist