Susan Clare Broderick in Golden - Audiologist
Susan Clare Broderick - NPI 1750504890
Susan Clare Broderick is a Audiologist in Golden, Colorado. Susan Clare Broderick practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Susan Clare Broderick is 1750504890. The last update date is 2007-07-08.
Susan Clare Broderick's current location address is 11973 Camp Eden Rd, Golden, Colorado. You can contact this provider via phone number 3033786914 and fax number 3036427659. The mailing address for Susan Clare Broderick is 11973 Camp Eden Rd, Golden, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Clare Broderick |
|---|---|
| Address | 11973 Camp Eden Rd, Golden, Colorado |
| Phone Number | 3033786914 |
| Fax Number | 3036427659 |
| Sole Proprietor | Y |
| Credentials | MA |
NPI Number Detail
| NPI Number | 1750504890 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11973 Camp Eden Rd |
|---|---|
| City | Golden |
| State | Colorado (CO) |
| Post Code | 804038606 |
| Phone Number | 3033786914 |
| Fax Number | 3036427659 |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
| Licence No | 17755034 |
|
Definition: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 287715 | CO | CDE TEACHER LICENSE | |
| 17755034 | CO | -- |
Post Comment/ Review Below
What is the Susan Clare Broderick's unique identification number?
The Susan Clare Broderick has been assigned the NPI (National Provider Identifier) Number 1750504890 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Susan Clare Broderick is physically located?
The Susan Clare Broderick is situated at the following address: 11973 Camp Eden Rd, Golden, CO 804038606.
What is Susan Clare Broderick's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Susan Clare Broderick's specialized field of practice is Audiologist, and the corresponding taxonomy code that categorizes this area of specialization is 231H00000X.
On what date did the Susan Clare Broderick receive its 1750504890 assignment from the Centers for Medicare & Medicaid Services?
The Susan Clare Broderick was assigned its 1750504890 by the Centers for Medicare & Medicaid Services on 2007-04-10.
As of what date were the details related to Susan Clare Broderick most recently updated or revised?
The information pertaining to Susan Clare Broderick, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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