MEDICARE: MS. ANDREA DAWN WASSEL

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	37915	CA
2	235Z00000X	Speech-Language Pathologist	7101009190	MI
3	235Z00000X	Speech-Language Pathologist	6909-154	WI
4	235Z00000X	Speech-Language Pathologist	18345	OR
5	235Z00000X	Speech-Language Pathologist	SA10607	FL
6	235Z00000X	Speech-Language Pathologist	2020036365	MO
7	235Z00000X	Speech-Language Pathologist	30003721	NC

General Provider Information

NPI Number	:	1861726309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANDREA DAWN WASSEL

Provider Business Mailing Address
First Line	:	3115 HARGILL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-1646
Country	:	US
Telephone Number	:	954-401-0978
Fax Number	:

Provider Business Practice Location Address
First Line	:	3115 HARGILL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-1646
Country	:	US
Telephone Number	:	954-401-0978
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2009
Last Update Date	:	10/15/2025

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Directions to “ MS. ANDREA DAWN WASSEL ” Practice Location

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