Individual
MRS. ANNA E HURTADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1002 S DILLARD ST STE 106, WINTER GARDEN, FL 34787-3991
(407) 877-0029
(407) 358-5207
Mailing address
15037 LAKE BESSIE LOOP, WINTER GARDEN, FL 34787-9281
(601) 606-7059
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
S3449
MS
235Z00000X
Speech-Language Pathologist
Primary
SA18456
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12147580
ASHA
MS
01
—
S3449
MISSISSIPPI STATE BOARD OF HEALTH
MS
Enumeration date
11/20/2012
Last updated
11/25/2022
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