Ponte Vedra Speech Language and Learning LLC
NPI #1104501170 in Ponte Vedra, Florida
Provider Information
- NPI Number
- 1104501170
- Entity Type
- Organization
- Organization Name
- Ponte Vedra Speech Language and Learning LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jun 19, 2023
- Last Updated
- Jul 9, 2023
Practice Location
- Address
- 171 SUMMER MESA AVE
- City
- Ponte Vedra
- State
- Florida
- ZIP Code
- 32081-6143
- Phone
- (904) 404-2345
Authorized Official
- Name
- SONYA MARIE OLSEN, CCC-SLP
- Title
- SPEECH-LANGUAGE PATHOLOGIST
- Phone
- (904) 844-3136
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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