Individual
ANGELA MARIA GULLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
401 TURNBERRY RD, CANTONMENT, FL 32533-6818
(850) 723-0040
Mailing address
401 TURNBERRY RD, CANTONMENT, FL 32533-6818
(850) 723-0040
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
104877
TX
235Z00000X
Speech-Language Pathologist
2202010370
VA
235Z00000X
Speech-Language Pathologist
SA19600
FL
235Z00000X
Speech-Language Pathologist
Primary
SA5559
FL
235Z00000X
Speech-Language Pathologist
SLP006784
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
885714800
—
FL
Enumeration date
06/30/2009
Last updated
01/10/2025
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