Individual
COURTNEY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
808 S. DUNCAN AVE, CLEARWATER, FL 33756-4515
(727) 487-3663
Mailing address
808 S. DUNCAN AVE, CLEARWATER, FL 33756-4515
(727) 487-3663
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA10899
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004288100
—
FL
Enumeration date
11/08/2010
Last updated
06/19/2012
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