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MRS. DANA SMITH HAASE M. ED.
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1144530171
Individual Registrant:MRS. DANA SMITH HAASE M. ED.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
105 S.W. 140TH TERRACE JONESVILLE, FL 32669 US
Tel: 352-333-3995 Fax: 352-333-3994
Tel: 352-333-3995 Fax: 352-333-3994
Contact information for business:
3874 NW ARCHER ST APT 101 LAKE CITY, FL 32055-4813 US
Tel: 386-292-0502 Fax: --
Tel: 386-292-0502 Fax: --
Registration Information:
NPI: 1144530171
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | FL | SZ 4987 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
