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NPI Code Detail

MEDICARE: SUSAN GWEN ROE

MEDICARE: SUSAN GWEN ROE
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 Pathologist

General Provider Information

NPI Number : 1730251984
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN GWEN ROE
Provider Business Mailing Address
First Line : 400 LINWOOD AVE
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-3749
Country : US
Telephone Number : 501-623-7421
Fax Number : 501-620-7847
Provider Business Practice Location Address
First Line : 400 LINWOOD AVE
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-3749
Country : US
Telephone Number : 501-623-7421
Fax Number : 501-620-7847
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 07/08/2007

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Directions to “ SUSAN GWEN ROE ” 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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