Organization
FLORIDA STATE UNIVERSITY
Active
Other names
FSU Speech & Hearing Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE HOOVER (OFFICE ADMINISTRATOR)
(850) 644-8445
Entity
Organization
Contact information
Practice address
201 W BLOXHAM ST WARREN BUILDING, TALLAHASSEE, FL 32306-1200
(850) 644-2238
(850) 644-8994
Mailing address
201 W BLOXHAM ST WARREN BUILDING, TALLAHASSEE, FL 32306-1200
(850) 644-2238
(850) 644-8994
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 5640
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
880606300
—
FL
Enumeration date
10/06/2005
Last updated
09/06/2023
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