Individual
CYNTHIA LYNNE SUDDUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. S., CCC-SLP
Contact information
Practice address
1311 SOUTH MAIN STREET, ANGELS CAMP, CA 95251
(209) 813-0736
Mailing address
PO BOX 176, ANGELS CAMP, CA 95222
(209) 813-0736
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP10682
CA
Other
Enumeration date
01/03/2011
Last updated
10/25/2011
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