Doctor Name: | VICKY LEE PELPHREY |
NPI Number: | 1932479466 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC/SLP |
License Number: | SA5952 |
Business Practice Address: | 516 Tamiami Trl S Unit 306 Harbor Villas At Dona Bay Nokomis, FL - 342753184 |
Business Phone Number: | 9413760560 |
Business Fax Number: | 9412967476 |
Mailing Address: | 516 Tamiami Trl S Unit 306, Harbor Villas At Dona Bay NOKOMIS |
State: | FL |
Postal Code: | 342753184 |
Phone Number: | 9413760560 |
Fax Number: | 9412967476 |
NPI Enumeration Date: | 12/30/2011 |
NPI Last Update Date: | 12/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA5952 |
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 |