Provider Demographics
NPI:1841416609
Name:TAUGER, SUSAN M (SLP-CCC)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:M
Last Name:TAUGER
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1771 S PEARL ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3134
Mailing Address - Country:US
Mailing Address - Phone:303-442-6942
Mailing Address - Fax:303-449-5779
Practice Address - Street 1:1771 S PEARL ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3134
Practice Address - Country:US
Practice Address - Phone:303-442-6942
Practice Address - Fax:303-449-5779
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
CO00230888235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered174400000XOther Service ProvidersSpecialist
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist