Individual
MISS GLORY S CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3000 NW 42ND AVE APT B410, COCONUT CREEK, FL 33066-2182
(917) 502-5301
Mailing address
3000 NW 42ND AVE APT B410, COCONUT CREEK, FL 33066-2182
(917) 502-5301
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016941
NY
235Z00000X
Speech-Language Pathologist
SA19138
FL
Other
Enumeration date
12/12/2008
Last updated
12/01/2023
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