Individual
CHRISTINA G ETCHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, CCC-SLP
Contact information
Practice address
51 SPRING RIDGE DR, DEBARY, FL 32713-3725
(407) 417-7020
Mailing address
54 SPRING RIDGE DR, DEBARY, FL 32713-3727
(074) 177-0204
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 11608
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002843300
—
FL
Enumeration date
10/25/2010
Last updated
10/20/2023
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