MEDICARE: MRS. PATRICIA PUTNEY TOPE M.S., 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	SA 1201	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649364852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PATRICIA PUTNEY TOPE M.S., CCC/SLP

Provider Business Mailing Address
First Line	:	420 SAINT AUGUSTINE AVE
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33617-7232
Country	:	US
Telephone Number	:	813-988-6616
Fax Number	:	813-237-8593

Provider Business Practice Location Address
First Line	:	2401 E HENRY AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-4434
Country	:	US
Telephone Number	:	813-988-7633
Fax Number	:	813-237-8593

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	07/09/2007

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