Individual provider · Type 1 NPI
Trina Giddens Nussbaumer, M.S., CCC-SLP
Developmental Therapist · Fruitland Park, FL
Practice location
3261 US Hwy 441, Suite B-3
Fruitland Park, FL 34731-4497
Fax (352) 787-2386
Mailing address
3261 US Hwy 441, Suite B3
Fruitland Park, FL 34731-4497
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 3668 (FL) |
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1639256381
Trina Giddens Nussbaumer, M.S., CCC-SLP's National Provider Identifier is 1639256381, issued on Nov 1, 2006. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Fruitland Park, FL. The record was last updated on Feb 17, 2025.