Provider Demographics
NPI:1407529613
Name:SCHUSTRIN, TRICIA FRANCES (HAS)
Entity Type:Individual
Prefix:MRS
First Name:TRICIA
Middle Name:FRANCES
Last Name:SCHUSTRIN
Suffix:
Gender:F
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6782 BERWICK PL
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-8311
Mailing Address - Country:US
Mailing Address - Phone:201-390-7533
Mailing Address - Fax:
Practice Address - Street 1:2500 TAMIAMI TRL N STE 213
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-4470
Practice Address - Country:US
Practice Address - Phone:239-262-3070
Practice Address - Fax:239-262-3076
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS5586237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist