Individual
CAROL SUDDATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 TIMBER LN, DAYTON, OH 45414-4528
(093) 727-5746
(937) 275-8434
Mailing address
2011 TIMBER LN, DAYTON, OH 45414-4528
(093) 727-5746
(937) 275-8434
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.2507
OH
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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