Individual
AUDREY B GREENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC PA
Contact information
Practice address
160 NW 4TH ST, BOCA RATON, FL 33432
(561) 391-8444
(561) 391-6823
Mailing address
160 NW 4TH ST, BOCA RATON, FL 33432
(561) 391-8444
(561) 391-6823
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA259
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
882652800
—
FL
Enumeration date
03/19/2007
Last updated
08/03/2010
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