Doctor Name: | CHRISTINA ANNE GLENN |
NPI Number: | 1669710372 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | SA6232 |
Business Practice Address: | 8417 Old County Road 54 New Port Richey, FL - 346536418 |
Business Phone Number: | 7273761585 |
Business Fax Number: | |
Mailing Address: | 1502 Flatwood Ct, TRINITY |
State: | FL |
Postal Code: | 346555341 |
Phone Number: | 7273752558 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2013 |
NPI Last Update Date: | 01/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA6232 |
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 |