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Johanna Cornelia Badalati Welten

Speech-Language Pathologist, in Palm Coast, FL. Individual provider (NPI-1).

NPI number1689942211
StatusActive
Last updated in NPPESDec 10, 2011

Details

NPI
1689942211
Entity type
Individual (NPI-1)
Name
Johanna Cornelia Badalati Welten
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 10, 2011
Last updated
Dec 10, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SZ5683FLYes

Practice location

393 Palm Coast Pkwy Sw Unit 3
Palm Coast, FL 32137-4774

Phone 386-793-8120

Mailing address

22 Banner Ln
Palm Coast, FL 32137-8844

Phone 386-597-7420

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