NPI 1003966193
Kathleen Anne Willis, MACCCSLP
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
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.