Individual
AMY ALLISON SUHUMSKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-CCC-A
Contact information
Practice address
1320 SUMMER LEE DR, ROCKWALL, TX 75032
(972) 771-5443
(972) 771-5444
Mailing address
1320 SUMMER LEE DR, ROCKWALL, TX 75032
(972) 771-5443
(972) 771-5444
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80079
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069067
—
OR
01
—
900847004
BLUE CROSS BLUE SHIELD
OR
01
—
P00223552
RAIL ROAD MEDICARE
OR
01
—
TXB142013
INDIVIDUAL PTAN
TX
Enumeration date
08/25/2005
Last updated
08/05/2016
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