Whalio Doctors

NPI 1063823730

Constance Alexis Green, AUD

Practitioner Audiologist Tampa, FL

Practice location

Address
13904 N Dale Mabry Hwy Suite 200, Tampa, FL 33618-2446
Phone
(813) 908-2020
Fax
(813) 908-2133

Registered specialties (2)

Audiologist Primary
Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence AY1892 (FL)
Audiologist
Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence AZ663 (FL)

Registry record

NPI
1063823730
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 May 2014
Record last updated
23 Dec 2015

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.