Whalio Doctors

NPI 1003966193

Kathleen Anne Willis, MACCCSLP

Practitioner Speech-Language Pathologist Tampa, FL

Practice location

Address
6508 Gunn Hwy, Tampa, FL 33625-4022
Phone
(813) 963-6923
Fax
(813) 264-0768
Mailing address
6508 Gunn Hwy Independent Living INC, Tampa, FL 33625-4022

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SA7131 (FL)

Registry record

NPI
1003966193
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Jan 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.