Individual provider · Type 1 NPI

Kendra R. Fustin

Speech-Language Pathologist · Port Orange, FL

NPI number 1205334463 Active

Practice location

3875 Yorktowne Blvd
Port Orange, FL 32129-6051

Mailing address

1996 Yellowfin Dr
Port Orange, FL 32128-3016

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X17370 (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 1205334463

Kendra R. Fustin's National Provider Identifier is 1205334463, issued on Jan 23, 2018. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Port Orange, FL. The record was last updated on Sep 18, 2024.