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Organization
MED SPEECH THERAPY, LLC.
Active
Organization
MED SPEECH THERAPY, LLC.
Active
Other names
Speech Path of Brevard
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M. PURDY M.S.CCC/SLP (SLP/OWNER)
(321) 241-4816
Entity
Organization
Contact information
Practice address
7145 TURNER RD, SUITE 101, ROCKLEDGE, FL 32955-5721
(321) 241-4816
Mailing address
7145 TURNER RD, SUITE 101, ROCKLEDGE, FL 32955-5721
(321) 241-4816
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 9278
FL
Other
Enumeration date
05/22/2012
Last updated
06/20/2012
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