Doctor Name: | AMBER DAWN VALENTINE |
NPI Number: | 1063824001 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP, BCS-S, |
License Number: | KY 3283 |
Business Practice Address: | 4500 San Pablo Rd S Jacksonville, FL - 322241865 |
Business Phone Number: | 8593586864 |
Business Fax Number: | |
Mailing Address: | 1761 Fiddlers Ridge Dr, FLEMING ISLAND |
State: | FL |
Postal Code: | 320037241 |
Phone Number: | 8593586864 |
Fax Number: | |
NPI Enumeration Date: | 05/26/2014 |
NPI Last Update Date: | 01/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | KY 3283 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
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 |