Jason A Folds, SLP-CCC

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

NPI 1982939443 · NPPES record last updated Jul 20, 2016

Key facts

NPI
1982939443
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
10740 N Em En El Grove Rd
Umatilla, FL 32784-7952
Phone
(727) 729-1145
NPI assigned
Oct 16, 2009
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

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

Addresses

Primary practice location

10740 N Em En El Grove Rd
Umatilla, FL 32784-7952

Mailing address

10740 N Em En El Grove Rd
Umatilla, FL 32784-7952
Phone (727) 729-1145

Other providers in Umatilla, FL

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

Sources for this page

Verify at the official NPI Registry.