Individual
MRS. ANNA JONES ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1375 US 1 STE 4, VERO BEACH, FL 32960-4769
(772) 567-0061
(772) 567-0062
Mailing address
27730 SAN PORTOLA, SAN ANTONIO, TX 78260-1852
(772) 359-7194
(772) 567-0062
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
119437
TX
235Z00000X
Speech-Language Pathologist
Primary
SA-9345
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119437
TEXAS DEPARTMENT OF LICENSING AND REGULATION - SPEECH-LANGUAGE PATHOLOGISTS
TX
05
—
892685900
—
FL
01
—
SA9345
FLORIDA SPEECH LANGUAGE LICENSE
FL
Enumeration date
01/18/2008
Last updated
09/07/2022
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