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Individual
THERESA HERBERT
Active
Individual
THERESA HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SZ4827
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001383800
—
FL
05
—
001856500
—
FL
Enumeration date
08/31/2009
Last updated
04/18/2017
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