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Matthew Isaac Povilaitis
Speech-Language Assistant in Lake Wales, Florida
NPI 1598549495

Matthew Isaac Povilaitis is a Speech-Language Assistant based in Auburndale, FL and is specialized in Speech-Language Assistant. Matthew Isaac Povilaitis practices in Lake Wales, FL. The NPI Number for Matthew Isaac Povilaitis is 1598549495 and holds a License No. 6509 (Florida).

The current practice location address for Matthew Isaac Povilaitis is 427 Burns Ave, Lake Wales, FL and can be reached out via phone at 863-679-3338.

Location: 427 Burns Ave, Lake Wales, FL, 33823-5774
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598549495
Provider Name
Matthew Isaac Povilaitis
Credential
Provider Entity Type
Individual
Gender
Male
Address
427 Burns Ave, Lake Wales, FL, 33823-5774
Phone Number
863-679-3338
Fax Number
Provider Enumeration Date
08/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
427 Burns Ave
City
Lake Wales
State
Florida
Zip
33853-3314
Phone Number
863-679-3338
Fax Number
person
Provider Business Mailing Address Details
Address
427 Burns Ave
City
Lake Wales
State
Florida
Zip
33853-3314
Phone Number
863-679-3338
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
2355S0801X
License No.
6509 (Florida)
Definition
Definition to come...
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