Individual
CHRISTINE SUSAN EADS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
17208 LONG BOAT LN, ORLANDO, FL 32820-2701
(208) 830-2143
Mailing address
17208 LONG BOAT LN, ORLANDO, FL 32820-2701
(208) 830-2143
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 12984
FL
235Z00000X
Speech-Language Pathologist
SP 23994
CA
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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