Individual
SUZANNE P BOLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1800 PENN ST, STE 12, MELBOURNE, FL 32901
(321) 768-6800
(321) 768-6858
Mailing address
1800 PENN ST, STE 12, MELBOURNE, FL 32901
(321) 768-6800
(321) 768-6858
Taxonomy
Speciality
Code
Description
License number
State
2355A2700X
Audiology Assistant
Primary
SI1397
FL
2355S0801X
Speech-Language Assistant
SI 1397
FL
Other
Enumeration date
11/20/2007
Last updated
12/14/2009
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