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Organization
EMERALD COAST SPEECH THERAPY LLC
Active
Organization
EMERALD COAST SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA L LEAKE MS CCC/SLP (OWNER SLP)
(502) 716-4007
Entity
Organization
Contact information
Practice address
308 MIRACLE STRIP PKWY SW UNIT 15C, FORT WALTON BEACH, FL 32548-5214
(502) 716-4007
Mailing address
PO BOX 617, SHALIMAR, FL 32579-0617
(502) 716-4007
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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