Randolph Speech Therapy, Pllc
NPI #1285378935 in St Augustine, Florida
Provider Information
- NPI Number
- 1285378935
- Entity Type
- Organization
- Organization Name
- Randolph Speech Therapy, Pllc
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Apr 27, 2022
- Last Updated
- Jan 19, 2023
Practice Location
- Address
- 131 TREE FROG WAY
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32095-7523
- Phone
- (208) 608-0906
Authorized Official
- Name
- HEATHER RANDOLPH, M.S., CCC-SLP
- Title
- OWNER/CLINICIAN
- Phone
- (208) 608-0906
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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