Individual
MRS. SUSAN L DAVIDSMEYER-BULLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2332 LIBERTY DR., CORALVILLE, IA 52241
(319) 545-7390
Mailing address
4560 SW INTERNATIONAL WAY, STE. 100, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5203
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01299
IA
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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