| Neurodiverse Ability Services Llc | |
|
608 Sw Marvin Burnett Rd Lake City FL 32025-4918 | |
| (386) 965-5197 | |
| Not Available |
| Full Name | Neurodiverse Ability Services Llc |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 608 Sw Marvin Burnett Rd, Lake City, Florida |
| Authorized Official Name and Position | Paula Lynette Miller (PRESIDENT/CEO) |
| Authorized Official Contact | 3869655197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurodiverse Ability Services Llc 664 Sw Mauldin Ave Lake City FL 32024-4791 Ph: (386) 965-5197 | Neurodiverse Ability Services Llc 608 Sw Marvin Burnett Rd Lake City FL 32025-4918 Ph: (386) 965-5197 |
| NPI Number | 1598366171 |
|---|---|
| Provider Enumeration Date | 11/02/2020 |
| Last Update Date | 04/05/2021 |
| Certification Date | 04/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598366171 | NPI | - | NPPES |
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