Individual
MRS. MARY SUSAN SUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
6700 ANTIOCH RD, SUITE 120, MERRIAM, KS 66204-1497
(888) 652-9225
Mailing address
6700 ANTIOCH RD, SUITE 120, MERRIAM, KS 66204-1497
(888) 652-9225
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2007006503
MO
235Z00000X
Speech-Language Pathologist
Primary
584
KS
Other
Enumeration date
12/21/2014
Last updated
12/21/2014
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