Provider Demographics
NPI:1972574945
Name:DEY-SIGMAN, SUSAN (AUD)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:DEY-SIGMAN
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 1:400 BALD HILL RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-1617
Mailing Address - Country:US
Mailing Address - Phone:401-274-2300
Mailing Address - Fax:401-885-2387
Practice Address - Street 1:400 BALD HILL RD
Practice Address - Street 2:SUITE 1
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1617
Practice Address - Country:US
Practice Address - Phone:401-274-2300
Practice Address - Fax:401-272-1302
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAUD00087231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI406914OtherBLUE CHIP OF RI
RI1594OtherNEIGHBORHOOD HEALTH PLAN
RI45-00043OtherUNITED HEALTH PLAN
RI22049-7OtherBLUE CROSS BLUE SHIELD
RI7930120OtherAETNA-NON-HMO
RI2373690OtherAETNA-HMO
RI22049-7OtherBLUE CROSS BLUE SHIELD
007007989Medicare ID - Type Unspecified