MRS. Susan Eileen Van Wie, CCC/A

NPI #1962683367 in Laveen, Arizona

Provider Information

NPI Number: 1962683367
Entity Type: Individual
Name: MRS. Susan Eileen Van Wie, CCC/A
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Credential: CCC/A
Enumeration Date: Nov 14, 2007
Last Updated: Nov 14, 2007

Practice Location

Address: 6425 W CONSTANCE WAY
City: Laveen
State: Arizona
ZIP Code: 85339-2798
Phone: (602) 705-8705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary
Speech-Language Pathologist	235Z00000X

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Organizations

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