Individual
DR. SUSAN E TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
4107 5TH AVENUE N., ST PETERSBURG, FL 33711-1140
(727) 323-2471
(727) 323-3577
Mailing address
4107 5TH AVENUE N., ST PETERSBURG, FL 33713
(727) 323-2471
(727) 323-3577
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY126
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087001300
—
FL
Enumeration date
01/10/2007
Last updated
04/04/2008
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