Suzanne L. Kruse

Individual provider Active NPI Speech-Language Pathologist · Norborne, MO

NPI 1124229570 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124229570
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
405 Pirate LN
Norborne, MO 64668-1382
Phone
(660) 593-3319
Fax
(660) 593-3657
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
County of Carroll School Dist R8 Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X MO Yes

Addresses

Primary practice location

405 Pirate LN
Norborne, MO 64668-1382

Mailing address

405 Pirate LN
P. O. Box 192
Norborne, MO 64668-1382
Phone (660) 593-3319

Other providers in Norborne, MO

All providers in Norborne, MO · Speech-Language Pathologist in Missouri

Sources for this page

Verify at the official NPI Registry.