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Organization
PONTE VEDRA SPEECH THERAPY LLC
Active
Organization
PONTE VEDRA SPEECH THERAPY LLC
Active
Parent organization
PONTE VEDRA SPEECH LANGUAGE AND LEARNING LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PONTE VEDRA SPEECH LANGUAGE AND LEARNING LLC
Authorized official
SONYA MARIE OLSEN MS, CCC-SLP (CEO)
(904) 844-3136
Entity
Organization
Contact information
Practice address
30 TAVERNIER DR UNIT B, PONTE VEDRA, FL 32081-0677
(904) 844-3136
(904) 789-6295
Mailing address
30 TAVERNIER DR UNIT B, PONTE VEDRA, FL 32081-0677
(904) 844-3136
(904) 789-6295
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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