Organization
J. OLIVER SPEECH PATHOLOGY SERVICES, INC.
Active
Organization
J. OLIVER SPEECH PATHOLOGY SERVICES, INC.
Active
Other names
JOSPSI
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE FULSE CCC/SLP (DIRECTOR)
(863) 375-9996
Entity
Organization
Contact information
Practice address
4831 DIXIANA DR, BOWLING GREEN, FL 33834-5050
(863) 375-9996
(863) 375-9993
Mailing address
4831 DIXIANA DR, BOWLING GREEN, FL 33834-5050
(863) 375-9996
(863) 375-9993
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
SA 1466
FL
252Y00000X
Early Intervention Provider Agency
Primary
SA1466
FL
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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