Connell, Vicki Marie

Connell, Vicki Marie is an individual health care provider with primary practice located at 620 10Th Street N. , St Petersburg FL 33705-1407. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Connell, Vicki Marie can be contacted via phone (727) 824-7170.

Contact Information

Primary practice address
620 10Th Street N. St Petersburg FL 33705-1407
Phone: (727) 824-7170
Fax: (727) 824-7142
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY 744 Florida

Profile Details

NPI number 1255536702
LBN Legal business name Connell, Vicki Marie
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Mar 31st, 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 1255536702 NPPES
Florida MEDICAID 004338301

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