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Contact Information

SUSAN K KUDER II
11037 ERICKSON WAY SPC 1811037
REDDING, CA96003-2934
 Phone: 856-431-4629
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Drama Therapist

101200000X
Indicates primary specialty

NPI Profile & details for SUSAN K KUDER II · (Female)

NPI # 1225609035
Status Active
Credentials
Entity Individual
Enumeration date 07/03/2021
Last updated 07/03/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C3417740
  • CA Medicaid C3417740
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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