| Doctor Name: | SUSAN J PEDERSEN |
| NPI Number: | 1689750606 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.C.C.C.S.L.P. |
| License Number: | 943 |
| Business Practice Address: | 1325 Euclid Ave Ste 6 Helena, MT - 596012101 |
| Business Phone Number: | 4064423002 |
| Business Fax Number: | 4064422023 |
| Mailing Address: | Pmb 401, 201 East Lyndale HELENA |
| State: | MT |
| Postal Code: | 59601 |
| Phone Number: | 4064423002 |
| Fax Number: | 4064422023 |
| NPI Enumeration Date: | 10/31/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 943 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |