Organization
GULF COAST SPEECH LANGUAGE SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILDRED ZUSSELLY MCILWAIN M.S. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(850) 696-7583
Entity
Organization
Contact information
Practice address
5972 DAHOON DR, PENSACOLA, FL 32526-3246
(850) 380-4063
Mailing address
5972 DAHOON DR, PENSACOLA, FL 32526-3246
(850) 696-7583
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/01/2020
Last updated
11/30/2020
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