Individual
ALLIE AMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 S BEACH ST STE 202, DAYTONA BEACH, FL 32114-4430
(386) 872-4892
Mailing address
210 S BEACH ST STE 202, DAYTONA BEACH, FL 32114-4430
(386) 212-7038
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA21102
FL
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA21102
SA21102
FL
01
—
SZ10026
SZ10026
FL
Enumeration date
08/27/2017
Last updated
07/30/2024
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