| Doctor Name: | MARY IANDOLO |
| NPI Number: | 1013141894 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA CCC-SLP |
| License Number: | SA9308 |
| Business Practice Address: | 12702 Science Dr Orlando, FL - 328263016 |
| Business Phone Number: | 4072810441 |
| Business Fax Number: | |
| Mailing Address: | 9661 Camberley Cir, ORLANDO |
| State: | FL |
| Postal Code: | 328365744 |
| Phone Number: | 4074688205 |
| Fax Number: | |
| NPI Enumeration Date: | 05/08/2009 |
| NPI Last Update Date: | 01/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA9308 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |