Healthcare Provider Details

I. General information

NPI: 1508798539
Provider Name (Legal Business Name): SYDNEY ANNE CLEARY CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3898 VIA POINCIANA STE 17
LAKE WORTH FL
33467-2951
US

IV. Provider business mailing address

6638 JOG PALM DR
BOYNTON BEACH FL
33437-3924
US

V. Phone/Fax

Practice location:
  • Phone: 561-376-2573
  • Fax:
Mailing address:
  • Phone: 615-295-5430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSZ13282
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: