1710018155 NPI number — MRS. SUSAN M. EASTIN M.A.

Table of content: MRS. SUSAN M. EASTIN M.A. (NPI 1710018155)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710018155 NPI number — MRS. SUSAN M. EASTIN M.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
EASTIN
Provider First Name:
SUSAN
Provider Middle Name:
M.
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.A.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ANDERSON
Provider Other First Name:
SUSAN
Provider Other Middle Name:
M.
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1710018155
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16359 LONGS PEAK RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREELEY
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80631-9410
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-353-0757
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
UNC SPEECH AND AUDIOLOGY CLINIC
Provider Second Line Business Practice Location Address:
GUNTER HALL ROOM 0330
Provider Business Practice Location Address City Name:
GREELEY
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80639-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-351-2012
Provider Business Practice Location Address Fax Number:
970-351-1601
Provider Enumeration Date:
03/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  01066698 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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