Individual
AMY LEE DEICHERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-SP-CCC
Contact information
Practice address
3627 UNIVERSITY BLVD S, SUITE 210, JACKSONVILLE, FL 32216-4230
(904) 399-5311
(904) 396-2520
Mailing address
6318 FALBRIDGE CT, JACKSONVILLE, FL 32258-9435
(904) 318-3159
(904) 396-2520
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 574
FL
Other
Enumeration date
04/30/2013
Last updated
09/01/2016
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