Individual
INGERBENEDIKTE STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP; BCTMB
Contact information
Practice address
27300 RIVERVIEW CENTER BLVD STE 101, BONITA SPRINGS, FL 34134-4316
(941) 928-8146
Mailing address
PO BOX 1177, BONITA SPRINGS, FL 34133-1177
(941) 928-8146
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1109
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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