JORDAN AUSTIN COLLUM

WINTER PARK, FL
NPI1619492337
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SA16552)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: MI  7101005588)
Enumeration Date2017-08-03
Last Update Date2021-12-17
Business Address
Mr. JORDAN AUSTIN COLLUM CF-SLP
133 BENMORE DR STE 100
WINTER PARK, FL 32792
Phone number: 407-644-4883
Mailing Address
Mr. JORDAN AUSTIN COLLUM CF-SLP
133 BENMORE DR STE 100
WINTER PARK, FL 32792-4111
Phone number: 407-644-4883