Individual
MRS. SUSAN TANNER UITTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
78 ALDEN ST, DUXBURY, MA 02332-3835
(609) 356-4407
Mailing address
78 ALDEN ST, DUXBURY, MA 02332-3835
(609) 356-4407
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-8765-SL
MA
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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