Healthcare Provider Details

I. General information

NPI: 1700712965
Provider Name (Legal Business Name): ABBY NEECE SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4512 WOODSONG LOOP E
JACKSONVILLE FL
32225-1021
US

IV. Provider business mailing address

4512 WOODSONG LOOP E
JACKSONVILLE FL
32225-1021
US

V. Phone/Fax

Practice location:
  • Phone: 904-570-1947
  • Fax:
Mailing address:
  • Phone: 904-570-1947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI8751
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: