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Organization
SPEECH AT THE BEACH
Active
Organization
SPEECH AT THE BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN JOY FREELAND M.E.D., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(419) 651-6368
Entity
Organization
Contact information
Practice address
1910 OAK AVE, NICEVILLE, FL 32578-3610
(419) 651-6368
(850) 279-3298
Mailing address
1910 OAK AVE, NICEVILLE, FL 32578-3610
(419) 651-6368
(850) 279-3298
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12063
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009331400
—
FL
Enumeration date
06/15/2018
Last updated
12/06/2024
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