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NPI Code Detail

MEDICARE: MRS. VANESSA VOGEL SURESH MS, CCC-SLP

MEDICARE:  MRS. VANESSA VOGEL SURESH  MS, 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 Pathologist2006019896MO

General Provider Information

NPI Number : 1225163355
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VANESSA VOGEL SURESH MS, CCC-SLP
Provider Business Mailing Address
First Line : 1018 N PARK DR.
Second Line :
City : TACOMA
State : WA
Zip : 98403
Country : US
Telephone Number : 253-324-7233
Fax Number :
Provider Business Practice Location Address
First Line : 1082 OLD DES PERES RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63131-1865
Country : US
Telephone Number : 314-821-5230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 12/01/2025

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Directions to “ MRS. VANESSA VOGEL SURESH MS, CCC-SLP” Practice Location

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