Provider Demographics
NPI:1952496523
Name:MAY, SUZANNE N (AUD)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:N
Last Name:MAY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:N
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2725 CAPITAL AVE
Mailing Address - Street 2:SUITE 404
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-6032
Mailing Address - Country:US
Mailing Address - Phone:916-262-9456
Mailing Address - Fax:916-262-9460
Practice Address - Street 1:2725 CAPITAL AVE
Practice Address - Street 2:SUITE 404
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-6032
Practice Address - Country:US
Practice Address - Phone:916-262-9456
Practice Address - Fax:916-262-9460
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2324231H00000X
CAHA5076237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMCMG506500OtherWESTERN HEALTH ADVANTAGE
CA2738517OtherPACIFICARE
CA461869OtherINTERPLAN
CAMCMG506500OtherWESTERN HEALTH ADVANTAGE