Individual
MS. JUDITH KROOVAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTERS IN SPEECH/LA
Contact information
Practice address
4875 PALM COAST PKWY NW, SUITE 2, PALM COAST, FL 32137-3670
(386) 446-9935
(386) 446-7777
Mailing address
12 CHIPPEWAY CT, PALM COAST, FL 32137-8934
(386) 445-1150
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI2726
FL
235Z00000X
Speech-Language Pathologist
SZ 6536
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SI2726
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
01/23/2014
Last updated
01/11/2016
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