Individual
ANNA MOON FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS., CCC-SLP
Contact information
Practice address
105 MARINER HEALTH WAY STE 213, ST AUGUSTINE, FL 32086-3251
(904) 217-4259
(904) 217-4251
Mailing address
5B SYLVAN DR, SAINT AUGUSTINE, FL 32084-2121
(904) 610-4025
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA15779
FL
Other
Enumeration date
12/05/2024
Last updated
02/11/2026
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