Individual
DESSERET FUNDERBURK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
200 SE 12TH ST, POMPANO BEACH, FL 33060-9217
(954) 643-7668
Mailing address
200 SE 12TH ST, POMPANO BEACH, FL 33060-9217
(954) 643-7668
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7444
FL
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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