Provider Demographics
NPI:1194566950
Name:SUTTER, VERONICA (AUD)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:SUTTER
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 1:947 MYERS ST APT 526
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-4837
Mailing Address - Country:US
Mailing Address - Phone:757-419-6988
Mailing Address - Fax:
Practice Address - Street 1:4828 MARKET SQUARE LN
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-4826
Practice Address - Country:US
Practice Address - Phone:804-739-0031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201001971231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist