Doctor Name: | MRS. AMY ALEXANDRA LEES |
NPI Number: | 1437307915 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | SA 6360 |
Business Practice Address: | 110 Sw 101st Ave Plantation, FL - 333242236 |
Business Phone Number: | 9542613983 |
Business Fax Number: | 9544760183 |
Mailing Address: | 110 Sw 101st Ave, PLANTATION |
State: | FL |
Postal Code: | 333242236 |
Phone Number: | 9542613983 |
Fax Number: | 9544760183 |
NPI Enumeration Date: | 09/09/2008 |
NPI Last Update Date: | 09/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 6360 |
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 |