Individual
ANNE M WHITTAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
17670 NW 78TH AVE, #113, HIALEAH, FL 33015-3664
(305) 512-5757
Mailing address
PO BOX 260756, PEMBROKE PINES, FL 33026-7756
(954) 551-2574
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA5948
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
887605300
—
FL
Enumeration date
12/22/2010
Last updated
12/22/2010
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