Wynn Dba Speech Efx, Beulah Israel
Wynn Dba Speech Efx, Beulah Israel is an sole proprietor health care provider with primary practice located at 6322 25Th St S Apt 142, Saint Petersburg FL 33712-5399. 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. Wynn Dba Speech Efx, Beulah Israel can be contacted via phone (727) 866-7603.Contact Information
Primary practice address
6322 25Th St S Apt 142
Saint Petersburg FL 33712-5399
Phone: (727) 866-7603
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA6658 | Florida |
Profile Details
| NPI number | 1730306028 |
|---|---|
| LBN Legal business name | Wynn Dba Speech Efx, Beulah Israel |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1730306028 | NPPES |
| Florida | Other | 12046539 | ASHA SLP LICENSE |
| Florida | MEDICAID | 887698300 | ASHA SLP LICENSE |
| Florida | Other | SA6658 | ASHA SLP LICENSE |
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