Organization
DOLORES THOMAS
Active
Other names
Brevard Speech Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
DOLORES THOMAS (OWNER)
(321) 632-4491
Entity
Organization
Contact information
Practice address
882 KINGS POST RD, ROCKLEDGE, FL 32955-3514
(321) 632-4491
Mailing address
882 KINGS POST RD, ROCKLEDGE, FL 32955-3514
(321) 632-4491
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA29
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
882252200
—
FL
Enumeration date
01/02/2007
Last updated
06/12/2008
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