Individual
ELEANOR SCHACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC
Contact information
Practice address
10725 SW 104TH ST, MIAMI, FL 33176-8162
(305) 274-7883
(305) 274-4271
Mailing address
12695 SW 105TH AVE, MIAMI, FL 33176-4707
(305) 274-7883
(305) 274-4271
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 6794
FL
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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