MEDICARE: MRS. APRIL WILLIAMS NEIL MSP CCC SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA4458	FL

General Provider Information

NPI Number	:	1407033905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. APRIL WILLIAMS NEIL MSP CCC SLP

Provider Business Mailing Address
First Line	:	6805 GUNN HIGHWAY
Second Line	:	INDEPENDENT LIVING INC
City	:	TAMPA
State	:	FL
Zip	:	33625-4022
Country	:	US
Telephone Number	:	813-963-6923
Fax Number	:	813-264-0768

Provider Business Practice Location Address
First Line	:	6805 GUNN HIGHWAY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33625-4022
Country	:	US
Telephone Number	:	813-963-6923
Fax Number	:	813-264-0768

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2008
Last Update Date	:	01/28/2008

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