Terry, Susan E

Terry, Susan E is an individual health care provider with primary practice located at 4107 5Th Avenue N. , St Petersburg FL 33711-1140. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Terry, Susan E can be contacted via phone (727) 323-2471.

Contact Information

Primary practice address
4107 5Th Avenue N. St Petersburg FL 33711-1140
Phone: (727) 323-2471
Fax: (727) 323-3577
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY126 Florida

Profile Details

NPI number 1629127451
LBN Legal business name Terry, Susan E
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Apr 4th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629127451 NPPES
Florida MEDICAID 087001300

Popular Providers