Scarlette Phommathep

NPI #1215621016 in Lake City, Florida

Provider Information

NPI Number
1215621016
Entity Type
Individual
Name
Scarlette Phommathep
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Jun 5, 2023
Last Updated
Jun 5, 2023

Practice Location

Address
229 SW MAIN BLVD
State
Florida
ZIP Code
32025-7049
Phone
(386) 515-3009

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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