Individual
ANJANA REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 PENN ST, STE. 12, MELBOURNE, FL 32901-2643
(321) 768-6800
(321) 768-6858
Mailing address
6095 ANELLO DR, MELBOURNE, FL 32940-1307
(321) 259-2587
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA10297
FL
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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