Provider Demographics
NPI:1720792781
Name:ENGEL, SUSAN (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:
Last Name:ENGEL
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7714 S ONEIDA CT
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2521
Mailing Address - Country:US
Mailing Address - Phone:303-907-1729
Mailing Address - Fax:
Practice Address - Street 1:7714 S ONEIDA CT
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2521
Practice Address - Country:US
Practice Address - Phone:303-907-1729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSLP.0000442235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist