Individual
HAYLEI SUMMER RIEDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 S SUN DR STE 1089, LAKE MARY, FL 32746-6169
(407) 323-6955
Mailing address
1468 NORTHRIDGE DR, LONGWOOD, FL 32750-4548
(407) 925-9491
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI5760
FL
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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