Organization
EASTSIDE SPEECH AND PATHOLOGY
Active
Other names
Eastsides Speech and Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNNETTE L GRANGER M.S. CCC-SLP (PRESIDENT)
(954) 565-4437
Entity
Organization
Contact information
Practice address
840 E OAKLAND PARK BLVD, SUITE 115, OAKLAND PARK, FL 33334-2767
(954) 565-4437
(954) 565-4476
Mailing address
840 E OAKLAND PARK BLVD, SUITE 115, OAKLAND PARK, FL 33334-2767
(954) 565-4437
(954) 565-4476
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2007001985
FL
Other
Enumeration date
02/26/2007
Last updated
08/22/2020
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