Individual
SUSAN PAULA FISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC
Contact information
Practice address
612 E 11TH ST, LEADVILLE, CO 80461-3016
(970) 333-9042
Mailing address
612 E 11TH ST, LEADVILLE, CO 80461-3016
(970) 333-9042
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0002674
CO
Other
Enumeration date
01/24/2018
Last updated
06/21/2022
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