Individual
AMY ELIZABETH BAUSCHLICHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
4450 W EAU GALLIE BLVD, MELBOURNE, FL 32934-7213
(321) 255-6627
(321) 253-9777
Mailing address
4450 W EAU GALLIE BLVD STE 180, MELBOURNE, FL 32934-7277
(321) 255-6627
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13465
FL
235Z00000X
Speech-Language Pathologist
SZ 6355
FL
Other
Enumeration date
09/03/2013
Last updated
08/02/2021
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