Provider Demographics
NPI:1528776325
Name:SZEKERES, SUZANNE CONNER (MA CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:CONNER
Last Name:SZEKERES
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 KINGSWOOD DR
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001-3179
Mailing Address - Country:US
Mailing Address - Phone:215-740-3819
Mailing Address - Fax:
Practice Address - Street 1:10 LIBRARY LN
Practice Address - Street 2:
Practice Address - City:SIMSBURY
Practice Address - State:CT
Practice Address - Zip Code:06070-2110
Practice Address - Country:US
Practice Address - Phone:215-740-3819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL006214L235Z00000X
CT005157235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist