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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