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NPI Code Detail

MEDICARE: SUSANA DUGAS MA, CCC-SLP

MEDICARE:   SUSANA  DUGAS  MA, CCC-SLP
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
1235Z00000XSpeech-Language Pathologist01096989CO

General Provider Information

NPI Number : 1548773674
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSANA DUGAS MA, CCC-SLP
Provider Business Mailing Address
First Line : 6086 S ALTON WAY
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-5223
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6086 S ALTON WAY
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-5223
Country : US
Telephone Number : 720-933-7447
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2017
Last Update Date : 11/11/2017

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Directions to “ SUSANA DUGAS MA, CCC-SLP” Practice Location

Language Start Address Practice Location
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