Organization
PONTE VEDRA SPEECH LANGUAGE AND LEARNING LLC
Active
Organization
PONTE VEDRA SPEECH LANGUAGE AND LEARNING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA MARIE OLSEN MS, CCC-SLP (CEO)
(904) 844-3136
Entity
Organization
Contact information
Practice address
30 TAVERNIER DR STE B, PONTE VEDRA, FL 32081-1270
(904) 404-2345
(904) 789-6295
Mailing address
30 TAVERNIER DR STE B, PONTE VEDRA, FL 32081-1270
(904) 404-2345
(904) 789-6295
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124351900
—
FL
01
—
SA19092
FLORIDA BOARD OF SPEECH-LANGAUGE PATHOLOGY AND AUDIOLOGY SONYA OLSEN
FL
01
—
SA22939
FLORIDA BOARD OF SPEECH-LANGAUGE PATHOLOGY AND AUTUMN WOOD
FL
Enumeration date
07/14/2023
Last updated
02/24/2026
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