# EVA LUNA ODONNELL SPEECH & LANGUAGE SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063824597
- **Authorized official:** MRS. EVA L ODONNELL (PRESIDENT)
- **Authorized official phone:** (772) 240-4382

## Contact information

- **Practice address:** 357 SW COCONUT KEY WAY, PORT ST LUCIE, FL 34986-1907
- **Practice address phone:** (770) 240-4382
- **Practice address fax:** (772) 344-1706
- **Mailing address:** 357 SW COCONUT KEY WAY, PORT ST LUCIE, FL 34986-1907
- **Mailing address phone:** (770) 240-4382
- **Mailing address fax:** (772) 344-1706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | SA11999 | FL | Yes |

## Other

- **Enumeration date:** 06/02/2014
- **Last updated:** 06/02/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008003000 | — | FL |