| Doctor Name: | CYNTHIA IRISH |
| NPI Number: | 1265645147 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | SA 4620 |
| Business Practice Address: | 3496 Nw Federal Hwy Ste G Jensen Beach, FL - 349574441 |
| Business Phone Number: | 7722235677 |
| Business Fax Number: | 7722234997 |
| Mailing Address: | 6828 Nw Granger Ave, PORT SAINT LUCIE |
| State: | FL |
| Postal Code: | 349831305 |
| Phone Number: | 7722150255 |
| Fax Number: | |
| NPI Enumeration Date: | 05/08/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA 4620 |
| 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 |