Individual
JOYCE MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
6210 SHELDON RD, APT 2306, TAMPA, FL 33615-6122
(786) 266-1637
Mailing address
6210 SHELDON RD, APT 2306, TAMPA, FL 33615-6122
(786) 266-1637
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
FL
2355S0801X
Speech-Language Assistant
Primary
SI 1679
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SI1679
SLPA LICENSE
FL
Enumeration date
06/24/2009
Last updated
06/26/2012
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