Doctor Name: | MRS. JOCELYN SUZANNE RICHARDSON |
NPI Number: | 1528130622 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., C.C.C.,SLP |
License Number: | SA 6269 |
Business Practice Address: | 38051 Pasco Ave Dade City, FL - 335254234 |
Business Phone Number: | 7278486747 |
Business Fax Number: | 7278473107 |
Mailing Address: | Po Box 1502, 6646 U.s. Hwy 19 NEW PORT RICHEY |
State: | FL |
Postal Code: | 346561502 |
Phone Number: | 7278486747 |
Fax Number: | 7278473107 |
NPI Enumeration Date: | 11/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 6269 |
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 |