Doctor Name: | VICTORIA LANDIS |
NPI Number: | 1215200209 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | SA11348 |
Business Practice Address: | 620 N Wymore Rd Suite 230 Maitland, FL - 327514268 |
Business Phone Number: | 4076474740 |
Business Fax Number: | |
Mailing Address: | 620 N Wymore Rd, Suite 230 MAITLAND |
State: | FL |
Postal Code: | 327514268 |
Phone Number: | 4076474740 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2012 |
NPI Last Update Date: | 02/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA11348 |
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 |