Ponte Vedra Speech Therapy LLC

NPI #1902629587 in Ponte Vedra, Florida

Provider Information

NPI Number
1902629587
Entity Type
Organization
Organization Name
Ponte Vedra Speech Therapy LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PONTE VEDRA SPEECH LANGUAGE AND LEARNING LLC
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Nov 4, 2024
Last Updated
Nov 4, 2024

Practice Location

Address
30 TAVERNIER DR UNIT B
State
Florida
ZIP Code
32081-0677
Phone
(904) 844-3136

Authorized Official

Name
SONYA MARIE OLSEN, MS, CCC-SLP
Title
CEO
Phone
(904) 844-3136

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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