Forgotten Coast Speech, Language, and Swallowing Rehab LLC
NPI #1225688047 in Crawfordville, Florida
Provider Information
- NPI Number
- 1225688047
- Entity Type
- Organization
- Organization Name
- Forgotten Coast Speech, Language, and Swallowing Rehab LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Sep 13, 2019
- Last Updated
- Sep 29, 2020
Practice Location
- Address
- 42 EVENING STAR DR
- City
- Crawfordville
- State
- Florida
- ZIP Code
- 32327-0686
- Phone
- (352) 538-6177
Authorized Official
- Name
- VALERIE DAWN MASON, M.S., CCC-SLP
- Title
- SPEECH-LANGUAGE PATHOLOGIST/OWNER
- Phone
- (352) 538-6177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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