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NPI Code Detail

MEDICARE: DR. SUSAN MCTYIERE AU.D.

MEDICARE:  DR. SUSAN  MCTYIERE  AU.D.
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
1231H00000XAudiologistA01246OH

General Provider Information

NPI Number : 1528515087
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN MCTYIERE AU.D.
Provider Business Mailing Address
First Line : 500 MORSE RD
Second Line : OHIO SCHOOL FOR THE DEAF
City : COLUMBUS
State : OH
Zip : 43214-1833
Country : US
Telephone Number : 614-728-1407
Fax Number : 614-728-1464
Provider Business Practice Location Address
First Line : 500 MORSE RD
Second Line : OHIO SCHOOL FOR THE DEAF
City : COLUMBUS
State : OH
Zip : 43214-1833
Country : US
Telephone Number : 614-728-1407
Fax Number : 614-728-1464
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2016
Last Update Date : 09/01/2016

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