Provider Demographics
NPI:1285679217
Name:SINGER, JEFFREY OTHER NAME (MA)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:OTHER NAME
Last Name:SINGER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1811 NW 124TH AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-7890
Mailing Address - Country:US
Mailing Address - Phone:954-346-4067
Mailing Address - Fax:
Practice Address - Street 1:1811 NW 124TH AVE
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-7890
Practice Address - Country:US
Practice Address - Phone:954-346-4067
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY712231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist