Individual
ELIZABETH ANNE WHITFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6189 OLD POLLARD RD, JAY, FL 32565-1615
(850) 675-0604
Mailing address
6189 OLD POLLARD RD, JAY, FL 32565-1615
(850) 675-0604
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
603
FL
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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