Healthcare Provider Details

I. General information

NPI: 1992811343
Provider Name (Legal Business Name): SUSAN ELIZABETH SNYDER AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUSAN ELIZABETH FORSYTH

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 FISHER HALL 711 FORBES AVE
PITTSBURGH PA
15282-0001
US

IV. Provider business mailing address

403 FISHER HALL 600 FORBES AVE
PITTSBURGH PA
15282-0001
US

V. Phone/Fax

Practice location:
  • Phone: 412-396-4200
  • Fax: 412-396-1388
Mailing address:
  • Phone: 412-396-4200
  • Fax: 412-396-1388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAT005879
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: