STACEY NICOLE LANG

MERRITT ISLAND, FL
NPI1477186310
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA9346)
Enumeration Date2020-02-19
Last Update Date2020-02-19
Business Address
STACEY NICOLE LANG Speech Pathologist
1100 S COURTENAY PKWY
MERRITT ISLAND, FL 32952-3804
Phone number: 321-452-1233
Mailing Address
STACEY NICOLE LANG Speech Pathologist
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 352-382-7214