Griffin, Phaedra Phanae

Griffin, Phaedra Phanae is an sole proprietor health care provider with primary practice located at 448 W Donegan Ave , Kissimmee FL 34741-2335. 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. Griffin, Phaedra Phanae can be contacted via phone (407) 932-3445.

Contact Information

Primary practice address
448 W Donegan Ave Kissimmee FL 34741-2335
Phone: (407) 932-3445
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 891251300 Florida

Profile Details

NPI number 1477562122
LBN Legal business name Griffin, Phaedra Phanae
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2006
Last updated Jan 25th, 2011 - about 15 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 1477562122 NPPES
Florida MEDICAID 891251300

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