Individual
COURTNEY CLEMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 COLEMAN DR, ST AUGUSTINE, FL 32084-2873
(727) 967-1036
Mailing address
2 COLEMAN DR, ST AUGUSTINE, FL 32084-2873
(727) 967-1036
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ8700
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SZ8700
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
08/30/2018
Last updated
08/30/2018
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