| Susan Norton Dart, | |
|
169 N Gateway Dr Ste 210, Providence, UT 84332-9805 | |
| (435) 701-7010 | |
| (435) 701-7012 |
| Full Name | Susan Norton Dart |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 169 N Gateway Dr Ste 210, Providence, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740043140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (Utah) | Primary |
| Provider Name | Little Squirts Therapy Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1518654730 PECOS PAC ID: 4981051620 Enrollment ID: O20231116003727 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Norton Dart, 169 N Gateway Dr Ste 210, Providence, UT 84332-9805 Ph: (435) 701-7010 | Susan Norton Dart, 169 N Gateway Dr Ste 210, Providence, UT 84332-9805 Ph: (435) 701-7010 |
Mrs. Heather Saxton Maughan, MA, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 344 E Edgehill Dr, Providence, UT 84332 Phone: 435-512-8440 Fax: 435-787-2050 | |
Bobbie Liechty, M.A., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 585 N 400 E, Providence, UT 84332 Phone: 435-512-9536 |