Organization · NPI-2

Citrine Speech Therapy, LLC

Speech-Language Pathologist, · Palm Coast, FL

NPI number1376472688
StatusActive
Last updated in NPPESMay 14, 2026

Details

NPI
1376472688
Entity type
Organization (NPI-2)
Legal business name
Citrine Speech Therapy, LLC
Organization subpart
No
Enumeration date
May 14, 2026
Certification date
May 14, 2026
Last updated
May 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

5 Prescott Ln
Palm Coast, FL 32164-4766

Phone 386-346-8152

Mailing address

5 Prescott Ln
Palm Coast, FL 32164-4766

Authorized official

Virnalisa Romine
Speech Language Pathologist
3863468152

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