Individual
MS. GENEVA E AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP, M.S., CCC
Contact information
Practice address
13205 PARKHURST CT, RIVERVIEW, FL 33569-5756
(813) 263-9554
(813) 263-9554
Mailing address
13205 PARKHURST CT, RIVERVIEW, FL 33569-5756
(813) 263-9554
(813) 263-9554
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA7832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y902F
BCBS
FL
Enumeration date
01/27/2006
Last updated
07/08/2007
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