Doctor Name: | ELISA NEALE-TOBENER |
NPI Number: | 1558491555 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SA621 |
Business Practice Address: | 861 Hwy 21 Melrose, FL - 32666 |
Business Phone Number: | 3524755726 |
Business Fax Number: | 3524755726 |
Mailing Address: | 6484 Neale Rd, P.o. Box 1231 MELROSE |
State: | FL |
Postal Code: | 326668850 |
Phone Number: | 3524755726 |
Fax Number: | 3524755726 |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA621 |
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 |