Individual
MRS. DEVORA LEAH THALER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
3457 NW 122ND AVE, SUNRISE, FL 33323-3308
(678) 923-6411
Mailing address
3457 NW 122ND AVE, SUNRISE, FL 33323-3308
(678) 923-6411
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 13565
FL
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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