Crockett, Karen E
Crockett, Karen E is an sole proprietor health care provider with primary practice located at 2914 Busch Lake Blvd , Tampa FL 33614-1859. 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. Crockett, Karen E can be contacted via phone (813) 933-0455.Contact Information
Primary practice address
2914 Busch Lake Blvd
Tampa FL 33614-1859
Phone: (813) 933-0455
Fax: (813) 933-0457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA 774 | Florida |
Profile Details
| NPI number | 1770570509 |
|---|---|
| LBN Legal business name | Crockett, Karen E |
| Credentials | PH.D., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Jun 18th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770570509 | NPPES |
| Florida | MEDICAID | 880439700 |
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