Individual
ELIZABETH A PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
10901 SW 102ND CT, MIAMI, FL 33176-3472
(786) 200-8222
(786) 913-5062
Mailing address
10901 SW 102ND CT, MIAMI, FL 33176-3472
(786) 200-8222
(786) 913-5062
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA12419
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004566900
—
FL
Enumeration date
02/03/2012
Last updated
10/03/2019
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