Griffin, Phaedra Phanae
Griffin, Phaedra Phanae is an sole proprietor health care provider with primary practice located at 448 W Donegan Ave , Kissimmee FL 34741-2335. 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. Griffin, Phaedra Phanae can be contacted via phone (407) 932-3445.Contact Information
Primary practice address
448 W Donegan Ave
Kissimmee FL 34741-2335
Phone: (407) 932-3445
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 891251300 | Florida |
Profile Details
| NPI number | 1477562122 |
|---|---|
| LBN Legal business name | Griffin, Phaedra Phanae |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jan 25th, 2011 - about 13 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 | 1477562122 | NPPES |
| Florida | MEDICAID | 891251300 |
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