Kaloustian, Elena

Kaloustian, Elena is an sole proprietor health care provider with primary practice located at 6821 Eden Ln , Tampa FL 33634-4711. She recently has 2 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Kaloustian, Elena can be contacted via phone (813) 243-0730.

Contact Information

Primary practice address
6821 Eden Ln Tampa FL 33634-4711
Phone: (813) 243-0730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA9469 Florida

Profile Details

NPI number 1710022413
LBN Legal business name Kaloustian, Elena
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Nov 26th, 2018 - about 6 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 1710022413 NPPES
Florida MEDICAID 000279000
Florida MEDICAID 891983600

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