Organization
TAMPA SPEECH AND HEARING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH BOOHER M.S. CCC-A (DIRECTOR/AUDIOLOGIST)
(813) 870-3560
Entity
Organization
Contact information
Practice address
4714 N ARMENIA AVE, SUITE 202, TAMPA, FL 33603-2603
(813) 870-3560
(813) 870-0334
Mailing address
4714 N ARMENIA AVE, SUITE 202, TAMPA, FL 33603-2603
(813) 870-3560
(813) 870-0334
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY193
FL
231H00000X
Audiologist
AY394
FL
231H00000X
Audiologist
AY832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AY832
DIANA HOLLAND
FL
Enumeration date
08/31/2006
Last updated
09/07/2007
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