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NPI Code Detail

MEDICARE: MRS. CATRINA MARIE HINDS MCDCCC-SLP

MEDICARE:  MRS. CATRINA MARIE HINDS  MCDCCC-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
1235Z00000XSpeech-Language PathologistSA8479FL

General Provider Information

NPI Number : 1659662849
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CATRINA MARIE HINDS MCDCCC-SLP
Provider Business Mailing Address
First Line : 4121 ROSECLIFF LN
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-3620
Country : US
Telephone Number : 904-401-2775
Fax Number :
Provider Business Practice Location Address
First Line : 12425 RACE TRACK RD
Second Line :
City : TAMPA
State : FL
Zip : 33626-3110
Country : US
Telephone Number : 866-360-5916
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2011
Last Update Date : 04/22/2011

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Directions to “ MRS. CATRINA MARIE HINDS MCDCCC-SLP” Practice Location

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