# SUSAN GAUDICHON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1760851166
- **Gender:** F
- **Credential:** M.A. AUDIOLOGIST

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 50859 | TX | Yes |

## Other

- **Enumeration date:** 09/16/2015
- **Last updated:** 03/01/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 352791301 | — | TX |
| 05 | — | 352791302 | — | TX |
| 01 | — | 456686YKXV | MEDICARE TRAVIS COUNTY | TX |
| 01 | — | 456686YKXY | MEDICARE ROT | TX |