Provider Demographics
NPI:1699144006
Name:CLAUSON, SUNDAY SUE (MASE)
Entity type:Individual
Prefix:
First Name:SUNDAY
Middle Name:SUE
Last Name:CLAUSON
Suffix:
Gender:F
Credentials:MASE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2022 OAK MEADOW DRIVE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701
Mailing Address - Country:US
Mailing Address - Phone:270-401-4336
Mailing Address - Fax:
Practice Address - Street 1:2022 OAK MEADOW DR
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-5501
Practice Address - Country:US
Practice Address - Phone:270-401-4336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-16
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator