Speer, Connie Lou

Speer, Connie Lou is an individual health care provider with primary practice located at 1407 M D Ln Ste A, Tallahassee FL 32308-5349. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Speer, Connie Lou can be contacted via phone (850) 877-1746.

Contact Information

Primary practice address
1407 M D Ln Ste A Tallahassee FL 32308-5349
Phone: (850) 877-1746
Fax: (850) 877-8215
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 036902 Florida

Profile Details

NPI number 1073516480
LBN Legal business name Speer, Connie Lou
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jun 28th, 2010 - 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 1073516480 NPPES
Florida MEDICAID 039851900

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