Al-Mutawa, Caitlin Street
Al-Mutawa, Caitlin Street is an individual health care provider with primary practice located at 4202 E Fpwler Avenue , Tampa FL 33620-6436. 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. Al-Mutawa, Caitlin Street can be contacted via phone (813) 821-8038.Contact Information
Primary practice address
4202 E Fpwler Avenue
Tampa FL 33620-6436
Phone: (813) 821-8038
Fax: (813) 974-4325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA16242 | Florida |
Profile Details
| NPI number | 1477022077 |
|---|---|
| LBN Legal business name | Al-Mutawa, Caitlin Street |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2018 |
| Last updated | Aug 10th, 2022 - about 3 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 | 1477022077 | NPPES |
| Florida | MEDICAID | 114876900 | |
| Florida | Other | NIF34 |
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