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NPI Code Detail

MEDICARE: MRS. SUSAN GAWEY APGAR M.S., CCC-SLP

MEDICARE: MRS. SUSAN GAWEY APGAR M.S., 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 Pathologist01078475CO

General Provider Information

NPI Number : 1164603353
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUSAN GAWEY APGAR M.S., CCC-SLP
Provider Business Mailing Address
First Line : 208 N CORONA ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-3405
Country : US
Telephone Number : 719-442-0415
Fax Number : 719-632-1879
Provider Business Practice Location Address
First Line : 208 N CORONA ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-3405
Country : US
Telephone Number : 719-442-0415
Fax Number : 719-632-1879
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2007
Last Update Date : 08/31/2009

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