Boonyathitisuk, Pisamai

Boonyathitisuk, Pisamai is an sole proprietor health care provider with primary practice located at 13063 Zarbis Dr , Spring Hill FL 34609-9091. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Boonyathitisuk, Pisamai can be contacted via phone (917) 324-3119.

Contact Information

Primary practice address
13063 Zarbis Dr Spring Hill FL 34609-9091
Phone: (917) 324-3119
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 014489 New York
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA12735 Florida

Profile Details

NPI number 1467692251
LBN Legal business name Boonyathitisuk, Pisamai
Credentials M.A.CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2009
Last updated Oct 7th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467692251 NPPES
Florida MEDICAID 013291200

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