Individual
MRS. CAROL MASELLI RUBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1511 NW 99 AVENUE, PLANTATION, FL 33322
(954) 253-4897
(954) 474-3403
Mailing address
1511 NW 99 AVENUE, INNOVATIVE SPEECH & LANGUAGE SERVICES, P.A., PLANTATION, FL 33322
(954) 253-4897
(954) 474-3403
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6684
FL
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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