Aubrie Alsum, MSCCCSLP

Individual provider Active NPI Speech-Language Pathologist · Palmetto, FL

NPI 1043432941 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1043432941
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SA7102 (FL)
Practice address
The Kidspot 410 10TH Ave W.
Palmetto, FL 34221-5032
Phone
(941) 722-3582
Fax
(941) 729-8322
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SA7102FLMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA7102 FL Yes

Addresses

Primary practice location

The Kidspot 410 10TH Ave W.
Palmetto, FL 34221-5032

Mailing address

1106 69TH St. E.
Bradenton, FL 34220
Phone (941) 748-2956

Other providers in Palmetto, FL

All providers in Palmetto, FL · Speech-Language Pathologist in Florida

Sources for this page

Verify at the official NPI Registry.