Individual
CARRIE BLEICHWEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3548 CREST ST, SAINT AUGUSTINE, FL 32092-3800
(904) 655-9560
Mailing address
3548 CREST ST, SAINT AUGUSTINE, FL 32092-3800
(904) 655-9560
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA12217
FL
235Z00000X
Speech-Language Pathologist
Primary
SZ5873
FL
Other
Enumeration date
08/07/2012
Last updated
04/14/2026
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