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Organization
SPEECH PATHOLOGY ASSOCIATES, P.A.
Active
Organization
SPEECH PATHOLOGY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH ROBERTS CCC-SLP (PRESIDENT/SPEECH PATHOLOGIST)
(904) 635-3179
Entity
Organization
Contact information
Practice address
1463 NECTARINE ST, FERNANDINA BEACH, FL 32034-3027
(904) 635-3179
(904) 246-7259
Mailing address
1595 LINKSIDE DR, ATLANTIC BEACH, FL 32233-7308
(904) 635-3179
(904) 246-7259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA3317
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S1829
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
06/08/2006
Last updated
08/22/2020
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