Wynn Dba Speech Efx, Beulah Israel

Wynn Dba Speech Efx, Beulah Israel is an sole proprietor health care provider with primary practice located at 6322 25Th St S Apt 142, Saint Petersburg FL 33712-5399. 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. Wynn Dba Speech Efx, Beulah Israel can be contacted via phone (727) 866-7603.

Contact Information

Primary practice address
6322 25Th St S Apt 142 Saint Petersburg FL 33712-5399
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA6658 Florida

Profile Details

NPI number 1730306028
LBN Legal business name Wynn Dba Speech Efx, Beulah Israel
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2007
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 1730306028 NPPES
Florida Other 12046539 ASHA SLP LICENSE
Florida MEDICAID 887698300 ASHA SLP LICENSE
Florida Other SA6658 ASHA SLP LICENSE

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