| Emerald Coast Autism Center | |
|
315 Edge Ave, Valparaiso, FL 32580-1807 | |
| (850) 279-3000 | |
| (850) 389-2269 |
| Full Name | Emerald Coast Autism Center |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 315 Edge Ave, Valparaiso, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760852172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SZ7329 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Coast Autism Center 315 Edge Ave, Valparaiso, FL 32580-1807 Ph: (850) 279-3000 | Emerald Coast Autism Center 315 Edge Ave, Valparaiso, FL 32580-1807 Ph: (850) 279-3000 |
Mrs. Kristin Joy Freeland, SPEECH LANGUAGE PATH Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 141 C. South John Sims Pkwy, Valparaiso, FL 32580 Phone: 194-651-6368 Fax: 850-279-3298 | |
Kathryn Greer Fagan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 170 Grandview Ave, Valparaiso, FL 32580 Phone: 334-224-2630 |