Individual
ELIZABETH HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18001 OLD CUTLER RD, SUITE 354, VILLAGE OF PALMETTO BAY, FL 33157-6422
(305) 251-7477
(305) 251-7475
Mailing address
18001 OLD CUTLER RD, SUITE 354, VILLAGE OF PALMETTO BAY, FL 33157-6422
(305) 251-7477
(305) 251-7475
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
36018
TX
2355S0801X
Speech-Language Assistant
Primary
SI863
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013066356
—
TX
Enumeration date
01/09/2007
Last updated
12/07/2022
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