Individual provider · Type 1 NPI

Mica Collins Booth

Speech-Language Pathologist · Lady Lake, FL

NPI number 1073835666 Active

Practice location

630 Griffin Ave
Lady Lake, FL 32159-8101

Call (352) 750-6619 Map

Other practice locations

  • 9377 SE 164th Pl, Summerfield, FL 34491-5898 · (229) 269-7251

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSA10301 (FL)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1073835666

Mica Collins Booth's National Provider Identifier is 1073835666, issued on Feb 23, 2010. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Lady Lake, FL. The record was last updated on Apr 24, 2025.