Organization
AIM 2 ACHIEVE SPEECH THERAPY & LEARNING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA JACKMAN (P)
(407) 329-3442
Entity
Organization
Contact information
Practice address
651 E MAIN ST STE 4, HAINES CITY, FL 33844-4241
(407) 329-3442
Mailing address
622 DUNLIN LN, KISSIMMEE, FL 34759-4534
(407) 329-3442
(407) 329-8170
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA7486
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118365400
—
FL
05
—
889413200
—
FL
Enumeration date
10/01/2010
Last updated
06/07/2023
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