Kelly Suzanne Teegardin in Tampa - Speech-language Pathologist

Kelly Suzanne Teegardin - NPI 1740440643

Kelly Suzanne Teegardin is a Speech-language Pathologist in Tampa, Florida. Kelly Suzanne Teegardin practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kelly Suzanne Teegardin is 1740440643. The last update date is 2011-03-15.

Kelly Suzanne Teegardin's current location address is 4202 E Fowler Ave, Tampa, Florida. You can contact this provider via phone number 8139749844 and fax number 8139740822. The mailing address for Kelly Suzanne Teegardin is 4202 E Fowler Ave, Tampa, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Suzanne Teegardin
Address 4202 E Fowler Ave, Tampa, Florida
Phone Number 8139749844
Fax Number 8139740822
Sole Proprietor N
Credentials M.S. CCC-S

NPI Number Detail

NPI Number 1740440643
Provider Enumeration Date 2008-06-13
Last Updated Date 2011-03-15

Provider Mailing Address Detail

Address 4202 E Fowler Ave
City Tampa
State Florida (FL)
Post Code 336206750
Phone Number 8139749844
Fax Number 8139740822

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No SA 7433
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
287600 FL --

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FAQs about Kelly Suzanne Teegardin

What is the Kelly Suzanne Teegardin's unique identification number?

The Kelly Suzanne Teegardin has been assigned the NPI (National Provider Identifier) Number 1740440643 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Kelly Suzanne Teegardin?

The Kelly Suzanne Teegardin is physically situated at 4202 E Fowler Ave, in the city of Tampa, state of FL, with the postal code 336206750.

What is Kelly Suzanne Teegardin's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kelly Suzanne Teegardin is Speech-language Pathologist, and the corresponding taxonomy classification code for this specialized field is 235Z00000X.

When did Kelly Suzanne Teegardin receive its 1740440643 assignment?

The Kelly Suzanne Teegardin was assigned its 1740440643 on 2008-06-13, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Kelly Suzanne Teegardin most recently updated or revised?

The information pertaining to Kelly Suzanne Teegardin, including its address, specialty, and other relevant details, was last updated or revised on 2011-03-15.

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