Doctor Name: | OSCAR LEBRON |
NPI Number: | 1578866604 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA CCC SLP |
License Number: | SA 8364 |
Business Practice Address: | 1800 N Wabash Rd Ste 202 Marion, IN - 469521300 |
Business Phone Number: | 7652511003 |
Business Fax Number: | |
Mailing Address: | 3090 Eagle Crossing Dr, KISSIMMEE |
State: | FL |
Postal Code: | 347463161 |
Phone Number: | 4076902003 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2010 |
NPI Last Update Date: | 12/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 8364 |
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 |