Individual
MRS. AFIENA VOSS DEHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP, BCABA
Contact information
Practice address
4016 CORTEZ RD W, SUITE 1105, BRADENTON, FL 34210-3110
(941) 758-3559
(941) 758-3499
Mailing address
4016 CORTEZ RD W, SUITE 1105, BRADENTON, FL 34210-3110
(941) 758-3559
(941) 758-3499
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA5451
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
681293796
—
FL
05
—
886149800
—
FL
Enumeration date
08/22/2006
Last updated
07/08/2007
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