Unknown Individual – Speech-Language Pathologist, NPI 1255436416
Speech-Language Pathologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2108, Lewis Turner Boulevard, Fort Walton Beach, Okaloosa County, Florida, 32547, United States
FORT WALTON BEACH, FL 325471316
Phone: (850) 862-3728
Fax: (850) 862-6270
Type: Location
309, Yacht Club Drive Northeast, Fort Walton Beach, Okaloosa County, Florida, 32548, United States
FORT WALTON BEACH, FL 325486423
Phone: (850) 240-5951
Fax: (850) 862-6270
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32547)
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