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Individual

MISS BERNELDA JANESSA THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S CCC-SLP

Contact information

Practice address
2840 NW 2ND AVENUE, SUITE 104, BOCA RATON, FL 33431
(561) 989-8595
(561) 989-8476
Mailing address
2840 NW 2ND AVENUE, SUITE 104, BOCA RATON, FL 33431
(561) 989-8595
(561) 989-8476

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4834
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14038466
ASHA
TN
01
4834
TN BOARD OF HEALTH
TN
Enumeration date
08/01/2013
Last updated
08/01/2013
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