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Organization
CLERMONT SPEECH AND LANGUAGE THERAPY CENTER, LLC
Active
Organization
CLERMONT SPEECH AND LANGUAGE THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK WHITE M.S.,CCC-SLP (DIRECTOR)
(352) 432-3960
Entity
Organization
Contact information
Practice address
450 E HWY 50, SUITE 8C, CLERMONT, FL 34711-2581
(352) 432-3960
Mailing address
3574 WIND RIVER RUN, CLERMONT, FL 34711-8970
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA8508
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013474400
—
FL
Enumeration date
01/19/2017
Last updated
01/19/2017
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