Organization
ASSOCIATES IN SPEECH-LANGUAGE PATHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE A WELLS MA CCC-SLP (OWNER)
(321) 241-4816
Entity
Organization
Contact information
Practice address
2226 SARNO RD, #101, MELBOURNE, FL 32935-3087
(321) 241-4816
(321) 241-4817
Mailing address
2226 SARNO RD, #101, MELBOURNE, FL 32935-3087
(321) 241-4816
(321) 241-4817
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA10305
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004780400
—
FL
Enumeration date
05/21/2012
Last updated
12/10/2013
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