Individual
MRS. BERNADETTE LEE TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 NW 76TH DR, GAINESVILLE, FL 32607-6668
(352) 505-6363
Mailing address
2352 NW 45TH LN, GAINESVILLE, FL 32605-1252
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ7465
FL
Other
Enumeration date
01/23/2016
Last updated
01/23/2016
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