| Ponte Vedra Speech Language And Learning Llc | |
|
30 Tavernier Dr Unit B, Ponte Vedra, FL 32081-0677 | |
| (904) 404-2345 | |
| (904) 789-6295 |
| Full Name | Ponte Vedra Speech Language And Learning Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 30 Tavernier Dr Unit B, Ponte Vedra, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770262990 | NPI | - | NPPES |
| 124351900 | Medicaid | FL | |
| SA22939 | Other | FL | FLORIDA BOARD OF SPEECH-LANGAUGE PATHOLOGY AND AUTUMN WOOD |
| 119250400 | Medicaid | FL | |
| SA19092 | Other | FL | FLORIDA BOARD OF SPEECH-LANGAUGE PATHOLOGY AND AUDIOLOGY SONYA OLSEN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Sonya Marie Olsen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295291177 PECOS PAC ID: 7214471473 Enrollment ID: I20240628000169 |
| Mailing Address | Practice Location Address |
|---|---|
| Ponte Vedra Speech Language And Learning Llc 30 Tavernier Dr Unit B, Ponte Vedra, FL 32081-0677 Ph: (904) 404-2345 | Ponte Vedra Speech Language And Learning Llc 30 Tavernier Dr Unit B, Ponte Vedra, FL 32081-0677 Ph: (904) 404-2345 |
Atlantic Speech Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 145 Hilden Road #113, Ponte Vedra, FL 32081 Phone: 904-652-5408 Fax: 877-652-5052 | |
Mrs. Alicia Ana Otero, MA; CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 30 Tavernier Dr Unit B, Ponte Vedra, FL 32081 Phone: 904-404-2345 Fax: 904-789-6295 | |
Ponte Vedra Speech Language And Learning Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 171 Summer Mesa Ave, Ponte Vedra, FL 32081 Phone: 904-404-2345 | |
Kelly Gatch, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 90 Fort Wade Rd, Suite 100 #1017, Ponte Vedra, FL 32081 Phone: 904-834-9796 | |
Ms. Sonya Marie Olsen, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 171 Summer Mesa Ave, Ponte Vedra, FL 32081 Phone: 904-844-3136 | |
Ms. Lauren M Collins, SPEECH PATHOLOGIST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 228 Ponte Vedra Park Dr, Suite 800, Ponte Vedra, FL 32082 Phone: 904-280-0081 Fax: 904-280-7680 | |
Ally Helsel Junot, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 388 Mahi Dr, Ponte Vedra, FL 32081 Phone: 813-777-8075 |