SUSAN STAHLY

MISHAWAKA, IN
NPI1144592403
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IN  22005317A)
Additional Taxonomies103K00000X Behavior Analyst
(Licence: IN  1-24-72228)
Enumeration Date2012-02-02
Last Update Date2025-11-03
Business Address
SUSAN STAHLY
215 RED COACH DR
MISHAWAKA, IN 46545-8307
Phone number: 574-345-0046
Mailing Address
SUSAN STAHLY
215 RED COACH DR
MISHAWAKA, IN 46545-8307
Phone number: 574-345-0046