Provider Demographics
NPI:1891903019
Name:DR. SUZANNE YODER, AUDIOLOGIST, LLC
Entity Type:Organization
Organization Name:DR. SUZANNE YODER, AUDIOLOGIST, LLC
Other - Org Name:HEARWELL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:YODER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:412-271-3002
Mailing Address - Street 1:2400 ARDMORE BLVD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-5299
Mailing Address - Country:US
Mailing Address - Phone:412-271-3002
Mailing Address - Fax:412-271-3006
Practice Address - Street 1:1167 BRINTON AVENUE EXT
Practice Address - Street 2:
Practice Address - City:BRADDOCK
Practice Address - State:PA
Practice Address - Zip Code:15104-2721
Practice Address - Country:US
Practice Address - Phone:814-599-6060
Practice Address - Fax:412-823-4676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-19
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT005919231H00000X
231HA2400X, 231HA2500X
PA237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology PractitionerGroup - Multi-Specialty
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology SupplierGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty