Individual
DESTINY MICHELLE CULBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 BARNA AVE STE H, TITUSVILLE, FL 32780-3417
(321) 362-4099
Mailing address
1401 REED CANAL RD, PORT ORANGE, FL 32129-9400
(772) 418-1568
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ11223
FL
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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