Organization
SPACE COAST SPEECH AND LANGUAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE LYNN CAREY MA, CCC-SLP (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(321) 220-9405
Entity
Organization
Contact information
Practice address
3800 W EAU GALLIE BLVD, MELBOURNE, FL 32934-3285
(321) 220-9405
Mailing address
741 DINNER ST NE, PALM BAY, FL 32907-2034
(321) 220-9405
Taxonomy
Speciality
Code
Description
License number
State
261QA3000X
Augmentative Communication Clinic/Center
SA9802
FL
261QH0700X
Hearing and Speech Clinic/Center
Primary
SA9802
FL
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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