Individual
CHRISTINA S BOURBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
607 S WESTLAND AVE APT 10, TAMPA, FL 33606-2460
(352) 613-5509
Mailing address
607 S WESTLAND AVE APT 10, TAMPA, FL 33606-2460
(352) 613-5509
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA16762
FL
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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