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Organization
SPEECH AESTHETICS THERAPY
Active
Organization
SPEECH AESTHETICS THERAPY
Active
Other names
Speech Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA VARGAS MA, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(407) 494-5170
Entity
Organization
Contact information
Practice address
907 SYDNEY STREET, DAVENPORT, FL 33837
(407) 494-5170
Mailing address
907 SYDNEY ST, DAVENPORT, FL 33837-2713
(407) 494-5170
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
02/17/2024
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