Provider Demographics
NPI:1124200332
Name:CERKONEY, ALICE GAIL (MS)
Entity Type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:GAIL
Last Name:CERKONEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 W. MARTIN LUTHER KING JR. BLVD.
Mailing Address - Street 2:DEPT. OF AUDIOLOGY
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607
Mailing Address - Country:US
Mailing Address - Phone:813-870-4451
Mailing Address - Fax:813-870-4179
Practice Address - Street 1:3001 W. MARTIN LUTHER KING JR. BLVD.
Practice Address - Street 2:DEPT. OF AUDIOLOGY
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607
Practice Address - Country:US
Practice Address - Phone:813-870-4451
Practice Address - Fax:813-870-4179
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY168231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist