Individual
MRS. ANNELYSE CRUZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
145 HILDEN RD STE 113, PONTE VEDRA BEACH, FL 32081-8401
(904) 652-5408
Mailing address
936 WINDWARD WAY, SAINT AUGUSTINE, FL 32080-6182
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14349
FL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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