| |
905 Cochran Rd, Geneva, FL 32732-9294 | |
(407) 325-8035 | |
(407) 349-2253 |
Full Name | |
---|---|
Type | Facility |
Speciality | Speech-language Pathologist |
Location | 905 Cochran Rd, Geneva, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629080874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SA3515 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
905 Cochran Rd, Geneva, FL 32732-9294 Ph: (407) 325-8035 | 905 Cochran Rd, Geneva, FL 32732-9294 Ph: (407) 325-8035 |
Susan Rose, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 511 Valley Stream Dr., Geneva, FL 32732 Phone: 407-701-1852 Fax: 407-349-3447 |