MEDICARE: DR. SUZANNE YVETTE YODER 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
1	231HA2400X	Assistive Technology Practitioner Audiologist
2	231HA2500X	Assistive Technology Supplier Audiologist
3	237600000X	Audiologist-Hearing Aid Fitter	D00885	PA
4	231H00000X	Audiologist	AT005919	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	YO1738967	OTHER	PA	HIGHMARK BLUE SHIELD

General Provider Information

NPI Number	:	1952309080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUZANNE YVETTE YODER AU.D.

Provider Business Mailing Address
First Line	:	400 PENN CENTER BLVD STE 777
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-5607
Country	:	US
Telephone Number	:	412-271-3002
Fax Number	:	412-271-3006

Provider Business Practice Location Address
First Line	:	400 PENN CENTER BLVD STE 777
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-5607
Country	:	US
Telephone Number	:	412-271-3002
Fax Number	:	412-271-3006

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	05/03/2024

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