Individual
MRS. DIANA WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
3305 S ORANGE AVE, ORLANDO, FL 32806-6125
(407) 484-8882
Mailing address
14130 POPCORN TREE CT, ORLANDO, FL 32828-6416
(407) 484-8882
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA9110
FL
Other
Enumeration date
06/25/2011
Last updated
11/20/2014
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