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NPI Code Detail

MEDICARE: MINDI R SUDMAN

MEDICARE: MINDI R SUDMAN
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
1101YM0800XMental Health CounselorIA

General Provider Information

NPI Number : 1215880935
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINDI R SUDMAN
Provider Business Mailing Address
First Line : 406 E COMPETINE ST
Second Line :
City : KNOXVILLE
State : IA
Zip : 50138-2121
Country : US
Telephone Number : 515-556-2591
Fax Number :
Provider Business Practice Location Address
First Line : 406 E COMPETINE ST
Second Line :
City : KNOXVILLE
State : IA
Zip : 50138-2121
Country : US
Telephone Number : 515-556-2591
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2026
Last Update Date : 02/20/2026

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Directions to “ MINDI R SUDMAN ” Practice Location

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