Provider Demographics
NPI:1457687824
Name:DAY, SUSAN ANN (MS)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:ANN
Last Name:DAY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 SOUTH SAINT VRAIN AVE.
Mailing Address - Street 2:UNIT 7
Mailing Address - City:ESTES PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80517-9751
Mailing Address - Country:US
Mailing Address - Phone:970-577-1134
Mailing Address - Fax:970-577-1164
Practice Address - Street 1:343 SOUTH SAINT VRAIN AVE.
Practice Address - Street 2:UNIT 7
Practice Address - City:ESTES PARK
Practice Address - State:CO
Practice Address - Zip Code:80517-9751
Practice Address - Country:US
Practice Address - Phone:970-577-1134
Practice Address - Fax:970-577-1164
Is Sole Proprietor?:No
Enumeration Date:2009-10-20
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO311231H00000X, 231HA2400X, 231HA2500X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO311OtherCOLORADO LICENSURE