Provider Demographics
NPI:1164603353
Name:GAWEY APGAR, SUSAN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:
Last Name:GAWEY APGAR
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 N CORONA ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-3405
Mailing Address - Country:US
Mailing Address - Phone:719-442-0415
Mailing Address - Fax:719-632-1879
Practice Address - Street 1:208 N CORONA ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-3405
Practice Address - Country:US
Practice Address - Phone:719-442-0415
Practice Address - Fax:719-632-1879
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-16
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO01078475235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist