Provider Demographics
NPI:1740453570
Name:PETERS, ANNE HAINS (MA)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:HAINS
Last Name:PETERS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1502 LUCERNE TER
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-2017
Mailing Address - Country:US
Mailing Address - Phone:407-841-3620
Mailing Address - Fax:407-843-8423
Practice Address - Street 1:1502 LUCERNE TER
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2017
Practice Address - Country:US
Practice Address - Phone:407-841-3620
Practice Address - Fax:407-843-8423
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-13
Last Update Date:2008-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY469237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter