Doctor Name: | MS. VIVIAN MASHELL FREEMAN |
NPI Number: | 1285905539 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | SA 3266 |
Business Practice Address: | 1000 Scott St Titusville, FL - 327806166 |
Business Phone Number: | 3212649935 |
Business Fax Number: | |
Mailing Address: | 1000 Scott St, TITUSVILLE |
State: | FL |
Postal Code: | 327806166 |
Phone Number: | 3212649935 |
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 3266 |
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 |