Individual
CHARITY PONGRATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1213 HUNTINGTON RIDGE RD, LYNN HAVEN, FL 32444-3190
(850) 258-2363
Mailing address
1213 HUNTINGTON RIDGE RD, LYNN HAVEN, FL 32444-3190
(850) 258-2363
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6300
FL
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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