Tease, Kelly

Tease, Kelly is an individual health care provider with primary practice located at 218 Ringwood Dr , Winter Springs FL 32708-4945. 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. Tease, Kelly can be contacted via phone (407) 695-8585.

Contact Information

Primary practice address
218 Ringwood Dr Winter Springs FL 32708-4945
Fax: (407) 699-9436
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA 2695 Florida

Profile Details

NPI number 1669421566
LBN Legal business name Tease, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Jul 9th, 2007 - about 18 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 1669421566 NPPES
Florida Other S1221 BCBS
Florida MEDICAID 881016800 BCBS

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