Provider Demographics
NPI:1952309080
Name:YODER, SUZANNE YVETTE (AUD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:YVETTE
Last Name:YODER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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 1:2400 ARDMORE BLVD
Practice Address - Street 2:SUITE 401
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-5299
Practice Address - Country:US
Practice Address - Phone:412-271-3002
Practice Address - Fax:412-271-3006
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-12
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT005919231H00000X
231HA2400X, 231HA2500X
PAD00885237600000X
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
PAYO1738967OtherHIGHMARK BLUE SHIELD
PA108313Medicare ID - Type UnspecifiedMEDICARE