Individual
SUSAN WENICK INDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
8020 CASTOR AVE, PHILADELPHIA, PA 19152-2732
(215) 722-4111
(215) 722-3163
Mailing address
8020 CASTOR AVE, PHILADELPHIA, PA 19152-2732
(215) 722-4111
(215) 722-3163
Taxonomy
Speciality
Code
Description
License number
State
231HA2500X
Assistive Technology Supplier Audiologist
Primary
AT000406L
PA
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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