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NPI Code Detail

MEDICARE: MRS. KRISTIN WOYAK M.ED., CCC-SLP

MEDICARE: MRS. KRISTIN WOYAK M.ED., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSA 12286FL

General Provider Information

NPI Number : 1851703714
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTIN WOYAK M.ED., CCC-SLP
Provider Business Mailing Address
First Line : 1212 13TH ST N
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-3682
Country : US
Telephone Number : 727-741-3405
Fax Number :
Provider Business Practice Location Address
First Line : 1212 13TH ST N
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-3682
Country : US
Telephone Number : 727-741-3405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2014
Last Update Date : 05/27/2014

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Directions to “ MRS. KRISTIN WOYAK M.ED., CCC-SLP” Practice Location

Language Start Address Practice Location
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