Provider Demographics
NPI:1588061162
Name:FARLER, SUSAN (MS CCC-SP)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:FARLER
Suffix:
Gender:F
Credentials:MS CCC-SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7242 CINNAMON WOODS DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-1074
Mailing Address - Country:US
Mailing Address - Phone:513-755-2338
Mailing Address - Fax:
Practice Address - Street 1:7242 CINNAMON WOODS DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-1074
Practice Address - Country:US
Practice Address - Phone:513-755-2338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-26
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3314235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist