Healthcare Provider Details

I. General information

NPI: 1356620025
Provider Name (Legal Business Name): SUZANNE ESTEP AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2011
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 JOSE FIGUERES AVE STE 280
SAN JOSE CA
95116-1555
US

IV. Provider business mailing address

2081 FOREST AVE STE 4
SAN JOSE CA
95128-4841
US

V. Phone/Fax

Practice location:
  • Phone: 408-937-8900
  • Fax: 408-937-8902
Mailing address:
  • Phone: 408-358-5123
  • Fax: 408-358-5193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number80476
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: