Provider Demographics
NPI:1215083027
Name:CHARRIER, AMY L (AUD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:CHARRIER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15310 AMBERLY DR STE 170
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-1640
Mailing Address - Country:US
Mailing Address - Phone:813-374-3036
Mailing Address - Fax:
Practice Address - Street 1:15310 AMBERLY DR STE 170
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-1640
Practice Address - Country:US
Practice Address - Phone:813-374-3036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1121231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCA4487OtherRR MEDICARE
FLCA4487OtherRR MEDICARE
FLAK570V-HILLSBOROUGHMedicare PIN