Individual
INGRID RENEE DESORMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
900 N FEDERAL HWY STE 220, BOCA RATON, FL 33432-2753
(561) 994-6590
Mailing address
15000 PORTOFINO CIR APT 125, PALM BEACH GARDENS, FL 33418-1250
(561) 541-3934
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ4711
FL
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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