Cynthia Lynne Sudduth, M S, CCC-SLP is a
Speech-language Pathologist based in Angels Camp, California. Cynthia Lynne Sudduth is licensed to practice in California (license number SP10682) and her current practice location is
1311 South Main Street, Angels Camp, California. She can be reached at her office (for appointments etc.) via phone at
(209) 813-0736.
NPI number for Cynthia Lynne Sudduth is 1730483959 and her current mailing address is Po Box 176, Angels Camp, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730483959.
Healthcare Provider's Profile
| Full Name | Cynthia Lynne Sudduth |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 1311 South Main Street, Angels Camp, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730483959
- Provider Enumeration Date: 01/03/2011
- Last Update Date: 10/25/2011
Medical Identifiers
Medical identifiers for Cynthia Lynne Sudduth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730483959 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | SP10682 (California) | Primary |
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. Cynthia Lynne Sudduth 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 |
|---|
Cynthia Lynne Sudduth, M S, CCC-SLP
Po Box 176,
Angels Camp, CA 95222
Ph: (209) 813-0736 | Cynthia Lynne Sudduth, M S, CCC-SLP
1311 South Main Street,
Angels Camp, CA 95251
Ph: (209) 813-0736 |
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