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ELISA NEALE-TOBENER CCC-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1558491555

Individual Registrant:
 ELISA  NEALE-TOBENER CCC-SLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
861 HWY 21  MELROSE, FL 32666 US
Tel: 352-475-5726  Fax: 352-475-5726

Contact information for business:
6484 NEALE RD P.O. BOX 1231 MELROSE, FL 32666-8850 US
Tel: 352-475-5726  Fax: 352-475-5726

Registration Information:
NPI: 1558491555
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
FLSA621

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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