Lake Wales Charter Schools Inc
Speech-Language Pathologist · Lake Wales, FL
At a glance
130 E Central Ave, Lake Wales, FL 33853-4166
NPPES record updated Mar 8, 2019. Public records can lag behind changes at a practice.
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Practice location
130 E Central AveLake Wales, FL 33853-4166
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Speech-Language Pathologist
- Taxonomy code
- 235Z00000X
- Enumeration date
- Jul 30, 2018
- Record updated
- Mar 8, 2019
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Mental Health Counselor
101YM0800X
Psychologist
103T00000X
Physical Therapist
225100000X
Occupational Therapist
225X00000X
Speech-Language Pathologist
235Z00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
130 E Central AveLake Wales, FL 33853-4166
- Phone
- (863) 604-1615
Mailing address
PO BOX 3309LAKE WALES, FL 338593309
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