Doctor Name: | MRS. ELIZABETH MARIE O'CONNOR |
NPI Number: | 1154696276 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | SA11182 |
Business Practice Address: | 4443 Rowan Rd New Port Richey, FL - 346536198 |
Business Phone Number: | 7278469900 |
Business Fax Number: | 7278345421 |
Mailing Address: | 1190 Fairway Dr, DUNEDIN |
State: | FL |
Postal Code: | 346982107 |
Phone Number: | 9042341783 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2012 |
NPI Last Update Date: | 03/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA11182 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |