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NPI Code Detail

MEDICARE: CAROL SUDDATH

MEDICARE: CAROL SUDDATH
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 PathologistSP.2507OH

General Provider Information

NPI Number : 1194115345
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL SUDDATH
Provider Business Mailing Address
First Line : 2011 TIMBER LN
Second Line :
City : DAYTON
State : OH
Zip : 45414-4528
Country : US
Telephone Number : 93-727-5746
Fax Number : 937-275-8434
Provider Business Practice Location Address
First Line : 2011 TIMBER LN
Second Line :
City : DAYTON
State : OH
Zip : 45414-4528
Country : US
Telephone Number : 93-727-5746
Fax Number : 937-275-8434
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2015
Last Update Date : 01/27/2015

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Directions to “ CAROL SUDDATH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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