Provider Demographics
NPI:1023317088
Name:LABRIE, CHRISTINE LOUISE
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:LOUISE
Last Name:LABRIE
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CHRISTINE
Other - Middle Name:LOUISE
Other - Last Name:COSKREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2340 STATE ROAD 580
Mailing Address - Street 2:SUITE N
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33763-1131
Mailing Address - Country:US
Mailing Address - Phone:727-796-8098
Mailing Address - Fax:
Practice Address - Street 1:2340 STATE ROAD 580
Practice Address - Street 2:SUITE N
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33763-1131
Practice Address - Country:US
Practice Address - Phone:727-796-8098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-16
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS945237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist