Individual
SUSAN MARY GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., C.C.C.-SLP
Contact information
Practice address
1500 WEST 12TH AVE, EUGENE, OR 97402-3705
(541) 485-8521
(541) 485-6159
Mailing address
1500 WEST 12TH AVE, EUGENE, OR 97402-3705
(541) 485-8521
(541) 485-6159
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13447
OR
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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