Providence Academy, INC

NPI #1972878437 in Orlando, Florida

Provider Information

NPI Number: 1972878437
Entity Type: Organization
Organization Name: Providence Academy, INC
Primary Specialty: Speech-Language Pathologist
Enumeration Date: Mar 16, 2012
Last Updated: Jan 8, 2013

Practice Location

Address: 1561 S ALAFAYA TRL
Address 2: SUITE 200
City: Orlando
State: Florida
ZIP Code: 32828-8956
Phone: (407) 382-5551

Authorized Official

Name: MRS. ALICIA NARET BRACCIA, MA,CAS,ABSNP, LSP
Title: FOUNDATION PRESIDENT
Phone: (407) 382-5551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Behavior Analyst	103K00000X
Psychologist - School — School	103TS0200X
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X	Primary

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