Provider Demographics
NPI:1730840851
Name:DIAMOND, SUZANNE H (SCD SLP-C)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:H
Last Name:DIAMOND
Suffix:
Gender:F
Credentials:SCD SLP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 HOBART RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON CENTER
Mailing Address - State:MA
Mailing Address - Zip Code:02459-1313
Mailing Address - Country:US
Mailing Address - Phone:617-281-6088
Mailing Address - Fax:
Practice Address - Street 1:54 HOBART RD
Practice Address - Street 2:
Practice Address - City:NEWTON CENTER
Practice Address - State:MA
Practice Address - Zip Code:02459-1313
Practice Address - Country:US
Practice Address - Phone:617-281-6088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-02
Last Update Date:2022-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3143235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist