Individual
AMY LIEBLE STUMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1060 W STATE ROAD 434, SUITE 108, LONGWOOD, FL 32750-4919
(407) 260-0551
(407) 265-9590
Mailing address
1060 W STATE ROAD 434, SUITE 108, LONGWOOD, FL 32750-4919
(407) 260-0551
(407) 265-9590
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 11403
FL
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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