Individual
SUZANNE C SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
4403 HARRISON BLVD STE 2645, OGDEN, UT 84403-3278
(801) 387-2880
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-2880
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
48277264101
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942854057034
—
UT
Enumeration date
10/04/2006
Last updated
07/09/2008
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