Organization
CLERMONT SPEECH AND LANGUAGE THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK WHITE M.S.,CCC-SLP (DIRECTOR)
(352) 432-3960
Entity
Organization
Contact information
Practice address
450 E HWY 50, SUITE 8C, CLERMONT, FL 34711-2581
(352) 432-3960
Mailing address
3574 WIND RIVER RUN, CLERMONT, FL 34711-8970
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA8508
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013474400
—
FL
Enumeration date
01/19/2017
Last updated
01/19/2017
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