MEDICARE: SUSAN HODGES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	AT-000116-L	PA

General Provider Information

NPI Number	:	1053397067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN HODGES

Provider Business Mailing Address
First Line	:	2539 WASHINGTON ROAD
Second Line	:	SUITE 1010
City	:	PITTSBURGH
State	:	PA
Zip	:	15241-2500
Country	:	US
Telephone Number	:	724-941-4434
Fax Number	:	724-941-4714

Provider Business Practice Location Address
First Line	:	2539 WASHINGTON ROAD
Second Line	:	SUITE 1010
City	:	PITTSBURGH
State	:	PA
Zip	:	15241-2500
Country	:	US
Telephone Number	:	724-941-4434
Fax Number	:	724-941-4714

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	03/10/2021

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Directions to “ SUSAN HODGES ” Practice Location

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