| Doctor Name: | MRS. AFIENA VOSS DEHARDT |
| NPI Number: | 1831205905 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC-SLP, BCABA |
| License Number: | SA5451 |
| Business Practice Address: | 4016 Cortez Rd W Suite 1105 Bradenton, FL - 342103110 |
| Business Phone Number: | 9417583559 |
| Business Fax Number: | 9417583499 |
| Mailing Address: | 4016 Cortez Rd W, Suite 1105 BRADENTON |
| State: | FL |
| Postal Code: | 342103110 |
| Phone Number: | 9417583559 |
| Fax Number: | 9417583499 |
| NPI Enumeration Date: | 08/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA5451 |
| 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 |