Terry, Susan E
Terry, Susan E is an individual health care provider with primary practice located at 4107 5Th Avenue N. , St Petersburg FL 33711-1140. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Terry, Susan E can be contacted via phone (727) 323-2471.Contact Information
Primary practice address
4107 5Th Avenue N.
St Petersburg FL 33711-1140
Phone: (727) 323-2471
Fax: (727) 323-3577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AY126 | Florida |
Profile Details
| NPI number | 1629127451 |
|---|---|
| LBN Legal business name | Terry, Susan E |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Apr 4th, 2008 - about 18 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 | 1629127451 | NPPES |
| Florida | MEDICAID | 087001300 |
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