Provider Demographics
NPI:1144647835
Name:VOORHIES, SUSAN J
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:J
Last Name:VOORHIES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:J
Other - Last Name:RIMPEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, CCC/SLP
Mailing Address - Street 1:2200 COUNTY ROAD 3818
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:TX
Mailing Address - Zip Code:75752-5489
Mailing Address - Country:US
Mailing Address - Phone:903-286-4632
Mailing Address - Fax:
Practice Address - Street 1:2200 COUNTY ROAD 3818
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TX
Practice Address - Zip Code:75752-5489
Practice Address - Country:US
Practice Address - Phone:903-286-4632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-20
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107078235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist