Provider Demographics
NPI:1740698877
Name:BABENDURE, SUSAN K (SLPA)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:K
Last Name:BABENDURE
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Gender:F
Credentials:SLPA
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Mailing Address - Street 1:32531 N SCOTTSDALE RD
Mailing Address - Street 2:SUITE 105-162 ACHIEVEMENT THERAPY SERVICES
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85266-6884
Mailing Address - Country:US
Mailing Address - Phone:480-488-3946
Mailing Address - Fax:480-488-3956
Practice Address - Street 1:7120 E SAHUARO DR
Practice Address - Street 2:ACHIEVEMENT THERAPY SERVICES
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254
Practice Address - Country:US
Practice Address - Phone:480-488-3946
Practice Address - Fax:480-488-3956
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-01
Last Update Date:2014-08-01
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Provider Licenses
StateLicense IDTaxonomies
AZSLPA89912355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant