Individual
CELESTE POULIN CHAPUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8032 WATERBURY WAY, MOUNT DORA, FL 32757
(352) 650-2035
Mailing address
8032 WATERBURY WAY, MOUNT DORA, FL 32757
(352) 650-2035
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 9862
FL
235Z00000X
Speech-Language Pathologist
SP681
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173385
ANTHEM
ME
05
—
207400099
—
ME
Enumeration date
05/21/2007
Last updated
01/17/2020
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