Individual
MRS. TRINA GIDDENS NUSSBAUMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3261 US HWY 441, SUITE B-3, FRUITLAND PARK, FL 34731-4497
(352) 326-0612
(352) 787-2386
Mailing address
3261 US HWY 441, SUITE B3, FRUITLAND PARK, FL 34731-4497
(352) 323-0612
(352) 787-2386
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
SA 3668
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
812099400
—
FL
05
—
885297900
—
FL
Enumeration date
11/01/2006
Last updated
02/17/2025
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