Doctor Name: | JULIE MARIE FLECK |
NPI Number: | 1174894422 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MACCC-SLP |
License Number: | SA 5475 |
Business Practice Address: | 125 Alma Blvd Merritt Island, FL - 329534345 |
Business Phone Number: | 3214542442 |
Business Fax Number: | |
Mailing Address: | 4625 Loughton Ln, VIERA |
State: | FL |
Postal Code: | 329556787 |
Phone Number: | 3214331094 |
Fax Number: | |
NPI Enumeration Date: | 01/18/2012 |
NPI Last Update Date: | 01/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 5475 |
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 |