Individual
FELICIA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2080 W EAU GALLIE BLVD, MELBOURNE, FL 32935-3152
(407) 694-3603
(321) 296-7130
Mailing address
2080 W EAU GALLIE BLVD, MELBOURNE, FL 32935-3152
(407) 694-3603
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
123621874102
UT
235Z00000X
Speech-Language Pathologist
Primary
SA22258
FL
Other
Enumeration date
06/21/2022
Last updated
04/26/2024
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