Petrick, Christina M.

Petrick, Christina M. is an sole proprietor health care provider with primary practice located at 410 10Th Ave W , Palmetto FL 34221-5032. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Petrick, Christina M. can be contacted via phone (941) 722-3582.

Contact Information

Primary practice address
410 10Th Ave W Palmetto FL 34221-5032
Phone: (941) 722-3582
Fax: (941) 729-8322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA 8168 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1881794584
LBN Legal business name Petrick, Christina M.
Credentials M.A., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2006
Last updated Sep 18th, 2013 - about 11 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 1881794584 NPPES
Florida MEDICAID 811916300
Florida MEDICAID 892150400

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