Individual
MRS. AMY JOY HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
4550 COLONIAL BLVD, FORT MYERS, FL 33912-1017
(239) 931-5700
Mailing address
2636 BELLINGHAM CT, CAPE CORAL, FL 33991-3061
(239) 282-0098
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 8560
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA 8560
STATE SLP LICENSE
FL
Enumeration date
01/29/2007
Last updated
07/08/2007
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