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Individual

SUSAN ZIMMERMAN-PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. CCC-A

Contact information

Practice address
1320 BROOKLYN AVE, ANN ARBOR, MI 48104-4415
(313) 715-3701
(734) 213-7044
Mailing address
1320 BROOKLYN AVE, ANN ARBOR, MI 48104-4415
(313) 715-3701
(734) 213-7044

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000593
MI
231HA2400X
Assistive Technology Practitioner Audiologist
1601000593
MI
231HA2500X
Assistive Technology Supplier Audiologist
1601000593
MI
237600000X
Audiologist-Hearing Aid Fitter
1601000593
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01064854
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION CERTIFICATE OF CLINICAL COMPETENCE
MI
01
1601000593
STATE OF MICHIGAN DEPARTMENT OF LICENSING & REGULATORY AFFAIRS AUDIOLOGY BOARD
MI
Enumeration date
08/18/2011
Last updated
08/18/2011
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