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Contact Information

ADVANCE SPEECH AND LANGUAGE CENTER
214 NORTH WASHINGTON STREET
PERRY, FL32347
 Phone: 850-843-1052
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for ADVANCE SPEECH AND LANGUAGE CENTER · (Female)

NPI # 1225250764
Status Active
Credentials
Entity Individual
Enumeration date 05/03/2007
Last updated 06/17/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # SA8913
  • FL Medicaid 892105900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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