# SUSAN MATTHIESEN

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

## Provider details

- **NPI number:** 1467406652
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 500 | ND | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 08/05/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1006908 | PREFERRED ONE | — |
| 01 | — | 14484 | BLUE SHIELD | ND |
| 01 | — | 4500069 | MEDICA | — |
| 05 | — | 50403 | — | ND |
| 01 | — | HP42264 | HEALTH PARTNERS | — |