MS. Susan Mary Ann Ultsch, M.S.,CCC-SLP
NPI #1215050505 in San Rafael, California
Provider Information
- NPI Number
- 1215050505
- Entity Type
- Individual
- Name
- MS. Susan Mary Ann Ultsch, M.S.,CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S.,CCC-SLP
- Enumeration Date
- Apr 9, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 30 N SAN PEDRO RD
- Address 2
- SUITE 265
- City
- San Rafael
- State
- California
- ZIP Code
- 94903-4118
- Phone
- (415) 479-7880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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