Collaborative Function

NPI #1114943594 in Orlando, Florida

Provider Information

NPI Number
1114943594
Entity Type
Organization
Organization Name
Collaborative Function
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Jul 15, 2006
Last Updated
Sep 19, 2008

Practice Location

Address
726 W COLONIAL DR
State
Florida
ZIP Code
32804-7344
Phone
(407) 540-1937

Authorized Official

Name
MS. AMIE HANNA TISHKOFF, M.A.CCC-SLP
Title
PRES/VP/SEC. & SPEECH-LANGUAGE PATH
Phone
(407) 540-1937

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Speech-Language Pathologist

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