Provider Demographics
NPI:1730950221
Name:SUNDERHAUS, MARIA (MA CCC SLP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:SUNDERHAUS
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5449 SIDNEY RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-3262
Mailing Address - Country:US
Mailing Address - Phone:513-500-3969
Mailing Address - Fax:
Practice Address - Street 1:3200 EBENEZER RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45248-4038
Practice Address - Country:US
Practice Address - Phone:513-922-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.15291235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist