Individual
DEBORAH BANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS. CCC-SLP
Contact information
Practice address
5490 BROAD ACRES ST, MERRITT ISLAND, FL 32953-7510
(401) 574-0548
Mailing address
5490 BROAD ACRES ST, MERRITT ISLAND, FL 32953-7510
(401) 574-0548
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA14466
FL
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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