MEDICARE: DIFFERENT LIKE ME INC

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
1	235Z00000X	Speech-Language Pathologist
2	1041C0700X	Clinical Social Worker	SW7605	FL

General Provider Information

NPI Number	:	1093915043
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIFFERENT LIKE ME INC

Provider Business Mailing Address
First Line	:	702 LUMPKIN ST
Second Line	:
City	:	TRAVELERS REST
State	:	SC
Zip	:	29690-1983
Country	:	US
Telephone Number	:	561-270-2280
Fax Number	:	561-270-2284

Provider Business Practice Location Address
First Line	:	7000 W PALMETTO PARK RD STE 201
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3430
Country	:	US
Telephone Number	:	561-270-2280
Fax Number	:	561-270-2284

Authorized Official
Title or Position	:	OWNER
Name	:	ALYSE NOVEMBER
Credential	:	PHD, LCSW
Telephone Number	:	561-270-2280

Provider Enumeration Date	:	07/18/2007
Last Update Date	:	11/07/2023

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Directions to “DIFFERENT LIKE ME INC ” Practice Location

Language	Start Address	Practice Location

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