Individual
AISLINN ROA LEWAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
549 NW LAKE WHITNEY PL STE 104, PORT ST LUCIE, FL 34986-1606
(772) 301-1207
Mailing address
1550 SW MERCEDES AVE, PORT ST LUCIE, FL 34953-4119
(407) 222-3197
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA17510
FL
Other
Enumeration date
06/15/2016
Last updated
10/08/2019
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