Individual
SUSAN AMANDA RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
3601 S 6TH AVE, AUDIOLOGY (5-126), TUCSON, AZ 85723-0001
(520) 629-1846
Mailing address
3601 S 6TH AVE, AUDIOLOGY (5-126), TUCSON, AZ 85723-0001
(520) 629-1846
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA7848
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807479
—
AZ
01
—
Z157122
MEDICARE PTAN
—
Enumeration date
06/29/2012
Last updated
10/09/2018
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