Provider Demographics
NPI:1760483150
Name:KASTNER, ALLISON HUSLANDER (AUD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:HUSLANDER
Last Name:KASTNER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:MARIE
Other - Last Name:HULSLANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:4 COLUMBIA DRIVE
Mailing Address - Street 2:SUITE 610
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606
Mailing Address - Country:US
Mailing Address - Phone:813-844-4900
Mailing Address - Fax:813-844-4905
Practice Address - Street 1:4 COLUMBIA DRIVE
Practice Address - Street 2:SUITE 610
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606
Practice Address - Country:US
Practice Address - Phone:813-844-4900
Practice Address - Fax:813-844-4905
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1244231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS2780OtherBC/BS
FLU1990YOtherPTAN
FL33023OtherMEDICARE GROUP #
FLS2780OtherBC/BS