Doctor Name: | MR. CLINT LANDON WELLS |
NPI Number: | 1730402678 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., CCC/SLP |
License Number: | SA 5639 |
Business Practice Address: | 9959 E Verona Cir Vero Beach, FL - 329663125 |
Business Phone Number: | 7726312642 |
Business Fax Number: | |
Mailing Address: | 9959 E Verona Cir, VERO BEACH |
State: | FL |
Postal Code: | 329663125 |
Phone Number: | 7726312642 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2010 |
NPI Last Update Date: | 05/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 5639 |
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 |