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Organization

HOPE SPEECH THERAPY SOLUTIONS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILLIAN FAULCON M.S. CCC-SLP (CLINICAL DIRECTOR)
(813) 461-3111
Entity
Organization

Contact information

Practice address
615 DIAMOND RIDGE RD, SEFFNER, FL 33584-5047
(813) 461-3111
(813) 643-9051
Mailing address
615 DIAMOND RIDGE RD, SEFFNER, FL 33584-5047
(813) 461-3111
(813) 643-9051

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024875100
FL
Enumeration date
07/17/2020
Last updated
07/17/2020
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