=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619740321
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WEST COAST AUDITORY PROCESSING CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/03/2023
-----------------------------------------------------
Last Update Date | 11/03/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3885 TAMPA RD STE A
-----------------------------------------------------
City | OLDSMAR
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34677-3122
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-527-9167
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 95 PINEWOOD TER E
-----------------------------------------------------
City | PALM HARBOR
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34683-2927
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-537-9167
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | AUDIOLOGIST
-----------------------------------------------------
Name | DR. ERIN BROWN
-----------------------------------------------------
Credential | AUD
-----------------------------------------------------
Telephone | 727-537-9167
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QH0700X
-----------------------------------------------------
Taxonomy Name | Hearing and Speech Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------