Organization
KANGA DYSLEXIA AND THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE COPPLE MS CCC/SLP (PRESIDENT)
(863) 409-2994
Entity
Organization
Contact information
Practice address
125 BREAM ST, HAINES CITY, FL 33844-9621
(863) 409-2994
(863) 438-7064
Mailing address
125 BREAM ST, HAINES CITY, FL 33844-9621
(863) 409-2994
(863) 438-7064
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA 5861
FL
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002119000
—
FL
Enumeration date
04/21/2010
Last updated
05/09/2023
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