is a Speech-language Pathologist in Tampa, Florida. practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for is 1396895587. The last update date is .
's current location address is 6508 Gunn Highway, Tampa, Florida. You can contact this provider via phone number 8139636923 and fax number 8132640768. The mailing address for is 6508 Gunn Highway, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 6508 Gunn Highway, Tampa, Florida |
| Phone Number | 8139636923 |
| Fax Number | 8132640768 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1396895587 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 6508 Gunn Highway |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336254022 |
| Phone Number | 8139636923 |
| Fax Number | 8132640768 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SA5891 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 58737023 | FL | TRICARE | |
| S9244 | FL | BCBS | |
| 356613 | FL | WELLCARE |
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