Individual ProviderCarol SuddathSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address2011 Timber Ln, Dayton, OH 45414-4528(093) 727-5746PECOS EnrollmentBased on the most recent information from CMS, provider Carol Suddath does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1194115345Provider TypeIndividualFull NameSuddath, CarolGenderFemaleSole ProprietorNoEnumeration Date1/27/2015Last Updated1/27/2015Contact InformationPractice LocationPractice Address2011 Timber Ln, Dayton, OH 45414-4528Phone(093) 727-5746Fax(937) 275-8434Mailing LocationMailing Address2011 Timber Ln, Dayton, OH 45414-4528Phone(093) 727-5746Fax(937) 275-8434Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSP.2507Ohio