Individual
CAROL S NAGENGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC SLP
Contact information
Practice address
911 N SPRING GARDEN AVE, DELAND, FL 32720-2560
(386) 736-3108
(386) 736-3643
Mailing address
911 N SPRING GARDEN AVE, DELAND, FL 32720-2560
(386) 736-3108
(386) 736-3643
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 8293
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA 8293
SPEECH PATHOLOGY
FL
Enumeration date
07/02/2009
Last updated
07/02/2009
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