Provider Demographics
NPI:1356620025
Name:ESTEP, SUZANNE (AUD)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:
Last Name:ESTEP
Suffix:
Gender:
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2081 FOREST AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-4841
Mailing Address - Country:US
Mailing Address - Phone:408-358-5123
Mailing Address - Fax:408-358-5193
Practice Address - Street 1:200 JOSE FIGUERES AVE STE 280
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1555
Practice Address - Country:US
Practice Address - Phone:408-937-8900
Practice Address - Fax:408-937-8902
Is Sole Proprietor?:No
Enumeration Date:2011-08-11
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80476237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3785OtherAUDIOLOGIST LICENSE