Susan Norton Dart, | |
169 N Gateway Dr Ste 210, Providence, UT 84332-9805 | |
(435) 701-7010 | |
(435) 701-7012 |
Full Name | Susan Norton Dart |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 169 N Gateway Dr Ste 210, Providence, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740043140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (Utah) | Primary |
Provider Name | Little Squirts Therapy Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1518654730 PECOS PAC ID: 4981051620 Enrollment ID: O20231116003727 |
Mailing Address | Practice Location Address |
---|---|
Susan Norton Dart, 169 N Gateway Dr Ste 210, Providence, UT 84332-9805 Ph: (435) 701-7010 | Susan Norton Dart, 169 N Gateway Dr Ste 210, Providence, UT 84332-9805 Ph: (435) 701-7010 |
Mrs. Heather Saxton Maughan, MA, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 344 E Edgehill Dr, Providence, UT 84332 Phone: 435-512-8440 Fax: 435-787-2050 | |
Bobbie Liechty, M.A., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 585 N 400 E, Providence, UT 84332 Phone: 435-512-9536 |