Allen, Michelle Denise

Allen, Michelle Denise is an individual health care provider with primary practice located at 3415 W Santiago St , Tampa FL 33629-7977. 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. Allen, Michelle Denise can be contacted via phone (516) 286-9246.

Contact Information

Primary practice address
3415 W Santiago St Tampa FL 33629-7977
Phone: (516) 286-9246
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 19952 California
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP.0002176 Colorado
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 023364 New York
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA16340 Florida

Profile Details

NPI number 1063797181
LBN Legal business name Allen, Michelle Denise
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2011
Last updated Dec 10th, 2018 - about 7 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 1063797181 NPPES
Florida MEDICAID 101436400

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