Organization
AUDREY B GREENWALD MS CCC PA
Active
Other names
Audrey B Greenwald MS CCC PA
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUDREY GREENWALD MS CCC (SPEECH LANGUAGE PATHOLOGIST)
56139184444
Entity
Organization
Contact information
Practice address
160 NW 4TH ST, BOCA RATON, FL 33432-3826
(561) 391-8444
Mailing address
160 NW 4TH ST, BOCA RATON, FL 33432-3826
(561) 391-8444
(561) 391-6823
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
SZ3827
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
882652800
—
FL
Enumeration date
05/27/2006
Last updated
08/18/2010
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