Individual
SUSAN COLLEEN SUNDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 584-1242
Mailing address
1231 COLLEGE ST, SALT LAKE CITY, UT 84117-4905
(801) 265-2747
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
106836-4101
UT
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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