Provider Demographics
NPI:1710153788
Name:CONTER, JOANNE L (MS)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:L
Last Name:CONTER
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 1:700 SE 5TH TER
Mailing Address - Street 2:STE 12
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:34429-4878
Mailing Address - Country:US
Mailing Address - Phone:352-795-5377
Mailing Address - Fax:352-795-8663
Practice Address - Street 1:38196 MEDICAL CENTER AVE
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33540-1380
Practice Address - Country:US
Practice Address - Phone:813-782-5395
Practice Address - Fax:813-782-5331
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY82231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAY82OtherSTATE LICENSE