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NPI Code Detail

MEDICARE: MS. SUZIE FOWLER M.A.T., C.C.C.

MEDICARE: MS. SUZIE FOWLER M.A.T., C.C.C.
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 Pathologist102LA

General Provider Information

NPI Number : 1962711168
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUZIE FOWLER M.A.T., C.C.C.
Provider Business Mailing Address
First Line : 923 NAPOLEON AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-2862
Country : US
Telephone Number : 504-891-5509
Fax Number : 504-895-1225
Provider Business Practice Location Address
First Line : 923 NAPOLEON AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-2862
Country : US
Telephone Number : 504-891-5509
Fax Number : 504-895-1225
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2010
Last Update Date : 10/05/2010

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Directions to “ MS. SUZIE FOWLER M.A.T., C.C.C.” Practice Location

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