Drusilla D Lovecky
Individual provider Active NPI Speech-Language Pathologist · Neptune Beach, FL
NPI 1861104697 · NPPES record last updated Dec 26, 2022
Key facts
- NPI
- 1861104697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SA9261 (FL)
- Practice address
- 2020 Tara CT
Neptune Beach, FL 32266-1564 - Phone
- (904) 316-7914
- NPI assigned
- Dec 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA9261 | FL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA9261 | FL | Yes |
Addresses
Primary practice location
2020 Tara CT
Neptune Beach, FL 32266-1564
Mailing address
2020 Tara CT
Neptune Beach, FL 32266-1564
Phone (904) 316-7914
Other practice location 1
905 Assisi Ln
Jacksonville, FL 32233-2972
Phone (904) 316-7914
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All providers in Neptune Beach, FL · Speech-Language Pathologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.