Individual provider · Type 1 NPI

Ivonne Carmen Randolph, MACCCSLP

Speech-Language Pathologist · Port Orange, FL

NPI number 1922148451 Active

Practice location

5791 Falling Tree Ln
Port Orange, FL 32127-7993

Other practice locations

  • 2219 S Woodland Blvd, Deland, FL 32720-8628 · (386) 736-9849

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist 222Q00000XNone listed
Early Intervention Provider Agency 252Y00000XNone listed
Speech-Language Pathologist Primary 235Z00000XSA 1206 (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 1922148451

Ivonne Carmen Randolph, MACCCSLP's National Provider Identifier is 1922148451, issued on Feb 7, 2007. 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 Feb 16, 2025.