Maureen C Survant, SLP/CCC ED.D.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 3760 Issued in FL

Practice address

13100 White Western Springs Rd
Southport, FL 32409-3554

Phone

(850) 233-3984

Fax

(850) 233-3954

NPI assigned

Jun 25, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Best Adult and Children'S Therapy Services of Bay County

  • Speech-Language Pathologist
  • Panama City, FL
  • NPI 1588690150
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1457387961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 WHITE WESTERN SPRINGS RD",
            "city": "SOUTHPORT",
            "state": "FL",
            "postal_code": "324093554",
            "telephone_number": "850-233-3984",
            "fax_number": "850-233-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 WHITE WESTERN SPRINGS RD",
            "city": "SOUTHPORT",
            "state": "FL",
            "postal_code": "324093554",
            "telephone_number": "850-233-3984",
            "fax_number": "850-233-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURVANT",
        "first_name": "MAUREEN",
        "middle_name": "C",
        "credential": "SLP/CCC ED.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2026-09-06",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 3760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "885349500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123177200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean, Ezechiel
• Ezechiel Jean
• Desiree Nichole Lafayette
• William Franklin McKeithen Jr., PTA
• Regina M McMillin

• Speech-Language Pathologist in Southport, FL
• Providers in Southport, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.