Individual
DR. SUSAN L HERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
3622 BELMONT AVE., SUITE 19, YOUNGSTOWN, OH 44505
(330) 759-3593
(330) 759-4032
Mailing address
1032 BOARDMAN-CANFIELD RD, SUITE 102, BOARDMAN, OH 44512
(330) 726-3339
(330) 726-0482
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A01053
OH
231H00000X
Audiologist
AT-000910-L
OH
231H00000X
Audiologist
AT000910L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000573568
ANTHEM
—
05
—
0018232000001
—
PA
05
—
0746376
—
OH
05
—
2097985
—
OH
05
—
2915199
—
OH
Enumeration date
06/28/2005
Last updated
01/27/2010
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