Individual
MS. SUSAN MARIE DUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.N.S. CCC-SLP
Contact information
Practice address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
(602) 867-5100
(602) 867-5291
Mailing address
15748 N 79TH LN, PEORIA, AZ 85382-5802
(623) 486-2286
(623) 486-3420
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
DOH# SLP0359
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AHCCCS# 598336
—
AZ
Enumeration date
10/20/2006
Last updated
07/09/2007
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