Individual
GARRETT OUTLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CCC-SLP
Contact information
Practice address
4641 GULFSTARR DR STE 102, DESTIN, FL 32541
(850) 964-6162
Mailing address
4641 GULFSTARR DR STE 102, DESTIN, FL 32541-3776
(850) 964-6162
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
120579
TX
235Z00000X
Speech-Language Pathologist
146016774
IL
235Z00000X
Speech-Language Pathologist
210009
AK
235Z00000X
Speech-Language Pathologist
2202010958
VA
235Z00000X
Speech-Language Pathologist
35099
CA
235Z00000X
Speech-Language Pathologist
41YS01202600
NJ
235Z00000X
Speech-Language Pathologist
5303
AL
235Z00000X
Speech-Language Pathologist
Primary
SA20348
FL
235Z00000X
Speech-Language Pathologist
SL017036
PA
235Z00000X
Speech-Language Pathologist
SLP.0005540
CO
235Z00000X
Speech-Language Pathologist
SP-3517
NV
235Z00000X
Speech-Language Pathologist
SP3946
ME
Other
Enumeration date
05/21/2021
Last updated
01/13/2025
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