Individual
MRS. AMELIA ANNE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
6321 OAK SHORE DR, SAINT CLOUD, FL 34771-8642
(407) 891-2160
(407) 891-2160
Mailing address
6321 OAK SHORE DR, SAINT CLOUD, FL 34771-8642
(407) 891-2160
(407) 891-2160
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
SA6571
FL
235Z00000X
Speech-Language Pathologist
Primary
SA6571
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8881138
—
FL
Enumeration date
01/08/2007
Last updated
07/07/2011
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