Healthcare Provider Details

I. General information

NPI: 1326010752
Provider Name (Legal Business Name): CHARLENE ANN WESTMAN M.A., CCC/SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 LAKE EMERALD DR
ORLANDO FL
32806-1424
US

IV. Provider business mailing address

1007 LAKE EMERALD DR
ORLANDO FL
32806-1424
US

V. Phone/Fax

Practice location:
  • Phone: 407-720-4233
  • Fax: 866-352-2210
Mailing address:
  • Phone: 407-720-4233
  • Fax: 866-352-2210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA0000255
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: