Beth Ingram Therapy Services
Clinic/Center in Tampa, FL(View on Map)
Legal Business Name
Beth Ingram Therapy Services
NPI Number
1013565779
NPI Type
Organization
Enumeration Date
08/27/2019
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
10598 ORANGE BLOSSOM LN
2111 W SWANN AVE STE 100
City
Seminole
Tampa
State
FL
FL
Postal Code
33772-7503
33606-2478
Country
US
US
Telephone Number
(757) 386-3394
(757) 386-3394
Authorized Official
Name
Michelle Retsky
Title or Position
SPEECH LANGUAGE PATHOLOGIST
Telephone Number
(757) 386-3394
Identifiers
Identifier
SZ9227
Identifier State
FL
Identifier Issuer
PROVISIONAL LICENSE FOR SPEECH LANGUAGE PATHOLOGIST
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
mretsky@bethingram.com
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
2111 W Swann Ave Ste 100Tampa, FL336062478US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/27/2019
Provider Address
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