Individual
CATHERINE LEBRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Contact information
Practice address
6508 GUNN HIGHWAY, TAMPA, FL 33625-4022
(813) 963-6923
Mailing address
6508 GUNN HIGHWAY, INDEPENDENT LIVING INC, TAMPA, FL 33625-4022
(813) 963-6923
(813) 264-0768
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA8077
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
360442
WELLCARE
FL
01
—
S9132
BCBS
FL
Enumeration date
02/26/2007
Last updated
07/08/2007
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