Provider Demographics
NPI:1922579457
Name:SAVIC, MILICA (MA SLP CCC)
Entity Type:Individual
Prefix:
First Name:MILICA
Middle Name:
Last Name:SAVIC
Suffix:
Gender:F
Credentials:MA SLP CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 W CARMEN ST APT 3327
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-0017
Mailing Address - Country:US
Mailing Address - Phone:904-343-6453
Mailing Address - Fax:
Practice Address - Street 1:1510 W CARMEN ST APT 3327
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-0017
Practice Address - Country:US
Practice Address - Phone:904-343-6453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA15916235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist