Individual
AMY B EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1024 FLORIDA AVE S, SUITE A, ROCKLEDGE, FL 32955-2152
(321) 634-3688
(321) 504-0955
Mailing address
1024 FLORIDA AVE S, SUITE A, ROCKLEDGE, FL 32955-2152
(321) 634-3688
(321) 504-0955
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
SA7094
FL
235Z00000X
Speech-Language Pathologist
Primary
SA7094
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890245300
—
FL
Enumeration date
11/14/2007
Last updated
05/22/2008
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