Individual
DR. DEBRA ANN FORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLINSCD., CCC/SLP
Contact information
Practice address
2701 HOWELL BRANCH RD, WINTER PARK, FL 32792
(407) 622-2648
Mailing address
2701 HOWELL BRANCH RD, WINTER PARK, FL 32792-6095
(407) 622-2648
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA10359
FL
Other
Enumeration date
12/10/2008
Last updated
04/24/2019
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