Mrs Susan Eileen Van Wie, CCC/A is a
Audiologist based in Laveen, Arizona. Mrs Susan Eileen Van Wie is licensed to practice in Arizona (license number TAUD5402) and her current practice location is
6425 W Constance Way, Laveen, Arizona. She can be reached at her office (for appointments etc.) via phone at
(602) 705-8705.
NPI number for Mrs Susan Eileen Van Wie is 1962683367 and her current mailing address is 6425 W Constance Way, Laveen, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962683367.
Healthcare Provider's Profile
Full Name | Mrs Susan Eileen Van Wie |
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Gender | Female |
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Speciality | Audiologist |
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Location | 6425 W Constance Way, Laveen, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962683367
- Provider Enumeration Date: 11/14/2007
- Last Update Date: 11/14/2007
Medical Identifiers
Medical identifiers for Mrs Susan Eileen Van Wie such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962683367 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | TAUD5402 (Arizona) | Primary |
235Z00000X | Speech-language Pathologist | SLP4532 (Arizona) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Susan Eileen Van Wie is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Susan Eileen Van Wie, CCC/A 6425 W Constance Way, Laveen, AZ 85339-2798 Ph: (602) 705-8705 | Mrs Susan Eileen Van Wie, CCC/A 6425 W Constance Way, Laveen, AZ 85339-2798 Ph: (602) 705-8705 |
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