MEDICARE: MARY ANN LITTRELL MA

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	231H00000X	Audiologist	AY515	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	:	1730225830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ANN LITTRELL MA

Provider Business Mailing Address
First Line	:	95 PINEWOOD TER E
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-2927
Country	:	US
Telephone Number	:	727-785-5490
Fax Number	:

Provider Business Practice Location Address
First Line	:	4443 ROWAN RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-6198
Country	:	US
Telephone Number	:	727-834-5425
Fax Number	:

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

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	07/08/2007

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