Individual
SUSAN K HEALEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-CCCA
Contact information
Practice address
820 11TH AVE, LONGVIEW, WA 98632-2402
(360) 423-0960
(360) 423-8778
Mailing address
820 11TH AVE, LONGVIEW, WA 98632-2402
(360) 423-0960
(360) 423-8778
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00000957
WA
237600000X
Audiologist-Hearing Aid Fitter
LD00000957
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0123184
L&I
WA
01
—
06222
REGENCE
WA
05
—
9029919
—
WA
Enumeration date
06/08/2006
Last updated
02/29/2008
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