Individual
AUDREY BERK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
11602 LAKE UNDERHILL RD, SUITE 129, ORLANDO, FL 32825-4458
(407) 277-5400
(321) 281-4942
Mailing address
5104 JEANNINE CT, ORLANDO, FL 32807-1366
(941) 914-3181
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA8920
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8919992
—
FL
Enumeration date
03/04/2007
Last updated
05/13/2016
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