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Organization
SPACE COAST SPEECH AND LANGUAGE, LLC
Active
Organization
SPACE COAST SPEECH AND LANGUAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE LYNN CAREY MA, CCC-SLP (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(321) 220-9405
Entity
Organization
Contact information
Practice address
3800 W EAU GALLIE BLVD, MELBOURNE, FL 32934-3285
(321) 220-9405
Mailing address
741 DINNER ST NE, PALM BAY, FL 32907-2034
(321) 220-9405
Taxonomy
Speciality
Code
Description
License number
State
261QA3000X
Augmentative Communication Clinic/Center
SA9802
FL
261QH0700X
Hearing and Speech Clinic/Center
Primary
SA9802
FL
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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