Doctor Name: | MRS. ANNA TEDESCO |
NPI Number: | 1285858340 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SA 9472 |
Business Practice Address: | 150 Avenue B Se Winter Haven, FL - 338803037 |
Business Phone Number: | 8632941429 |
Business Fax Number: | 8632980299 |
Mailing Address: | Po Box 91003, LAKELAND |
State: | FL |
Postal Code: | 338041003 |
Phone Number: | 8639448788 |
Fax Number: | 8632980299 |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 08/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 9472 |
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 |