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SUZANNE P BOLIVER SLPA

Speech, Language and Hearing Service Providers Specialist/Technologist Speech-Language Assistant

Provider NPI: 1710168653

Provider Information:
 SUZANNE P BOLIVER SLPA
Gender: F
Sole Proprietor

Practice Location:
1800 PENN ST STE 12 MELBOURNE, FL 32901 US
Tel: 321-768-6800  Fax: 321-768-6858

Business Mailing Address:
1800 PENN ST STE 12 MELBOURNE, FL 32901 US
Tel: 321-768-6800  Fax: 321-768-6858

NPI Information:
NPI: 1710168653
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N2355S0801XSpeech, Language and Hearing Service Providers
Specialist/Technologist
Speech-Language Assistant
FLSI 1397
Y2355A2700XSpeech, Language and Hearing Service Providers
Specialist/Technologist
FLSI1397

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 2355A2700X

Type:

Classification:



Definition:



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