Individual
MS. ELIZABETH A. HODOVANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
2 WELLSIDE LN, PALM COAST, FL 32164-7844
(386) 447-8081
Mailing address
2 WELLSIDE LN, PALM COAST, FL 32164-7844
(386) 447-8081
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA1415
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA1415
FL PROFESSIONAL LICENSE
FL
Enumeration date
11/12/2008
Last updated
11/12/2008
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