MRS. IVONNE CARMEN RANDOLPH (MACCCSLP) – Speech-Language Pathologist, NPI 1922148451

MRS. IVONNE CARMEN RANDOLPH (MACCCSLP) is a healthcare provider. based in Port orange, Florida. specializing in Speech-Language Pathologist. They hold the professional credentials MACCCSLP. They hold a License No. SA 1206 (FL). The NPI Number for MRS. IVONNE CARMEN RANDOLPH (MACCCSLP) is 1922148451

Main info

Female
Sole Proprietor
Name
MRS. IVONNE CARMEN RANDOLPH (MACCCSLP)
NPI
1922148451
Phone
(407) 595-2710
Address
5791 FALLING TREE LN
Enumeration Date
7 February 2007
Last Update Date
16 February 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MRS. IVONNE CARMEN RANDOLPH (MACCCSLP)

  • 5791 FALLING TREE LN

    PORT ORANGE, FL 321277993

    Phone: (407) 595-2710

    Type: Mailing

  • 2219 S Woodland Blvd

    Deland, FL 327208628

    Phone: (386) 736-9849

    Type: Location

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

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Medicare Utilization (FFS)

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Insurance plans in this area (ZIP 32127)

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Frequently asked questions

What NPI should I save for MRS. IVONNE CARMEN RANDOLPH (MACCCSLP)?
Save NPI 1922148451 if you need a stable reference for MRS. IVONNE CARMEN RANDOLPH (MACCCSLP).
Is MRS. IVONNE CARMEN RANDOLPH (MACCCSLP) active in the national directory?
MRS. IVONNE CARMEN RANDOLPH (MACCCSLP)'s public NPI profile is in an active state.
What field does MRS. IVONNE CARMEN RANDOLPH (MACCCSLP) work in?
You can think of MRS. IVONNE CARMEN RANDOLPH (MACCCSLP) as practicing within Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where does public data place MRS. IVONNE CARMEN RANDOLPH (MACCCSLP)?
The snapshot lists Port Orange, Florida for MRS. IVONNE CARMEN RANDOLPH (MACCCSLP); download NPPES for the complete set.
Is MRS. IVONNE CARMEN RANDOLPH (MACCCSLP) a real provider?
This page reflects official NPPES data for NPI 1922148451. Always confirm identity and privileges with the practice and licensing boards.

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