Speech Language Pros LLC
Speech-Language Pathologist, in Jacksonville, FL. Organization (NPI-2).
NPI number1104717867
StatusActive
Last updated in NPPESJul 11, 2025
Details
- NPI
- 1104717867
- Entity type
- Organization (NPI-2)
- Legal business name
- Speech Language Pros LLC
- Organization subpart
- No
- Enumeration date
- Jul 11, 2025
- Certification date
- Jul 11, 2025
- Last updated
- Jul 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Other names
- Speech Language Pros (Doing Business As)
Practice location
13500 Sutton Park Dr S Ste 801Jacksonville, FL 32224-5290
Phone 904-834-0775
Mailing address
13500 Sutton Park Dr S Ste 801Jacksonville, FL 32224-5290
Phone 904-834-0775
Authorized official
Antwiwa Hyman
Ceo/Slp
9044721431
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