Individual
ALISON HARTUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCC-SLP
Contact information
Practice address
5433 W STATE ROAD 46, SANFORD, FL 32771-9236
(407) 324-7204
Mailing address
609 S LAKEMONT AVE, WINTER PARK, FL 32792-4652
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 6408
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA 6408
SLP LICENSE
FL
Enumeration date
03/29/2007
Last updated
07/08/2007
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