# AMY ALLISON SUHUMSKIE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366435240
- **Gender:** F
- **Credential:** MA-CCC-A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 80079 | TX | Yes |

## Other

- **Enumeration date:** 08/25/2005
- **Last updated:** 08/05/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 069067 | — | OR |
| 01 | — | 900847004 | BLUE CROSS BLUE SHIELD | OR |
| 01 | — | P00223552 | RAIL ROAD MEDICARE | OR |
| 01 | — | TXB142013 | INDIVIDUAL PTAN | TX |