SELENA SEYMOUR DORESTANT (NPI# 1023466976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023466976 |
| Entity Type | Individual |
| Full Name | SELENA SEYMOUR DORESTANT |
| Practice Address |
15204 W Colonial Dr Winter Garden FL 34787-6042 |
| Mailing Address |
9814 Crenshaw Cir Clermont FL 34711-5321 |
| Practice Telephone | 4078772394 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA11649 | FL | Speech, Language and Hearing Service Providers |
| Street Address |
15204 W COLONIAL DR |
| City | WINTER GARDEN |
| State | FL |
| Zip Code | 34787-6042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942255971 | Winter Garden Health Care Associates LLC | Skilled Nursing Facility | 15204 W Colonial Dr, Winter Garden, FL 34787-6042 | 2006-05-25 |
| 1447809694 | Eugene Paul Bacolod | Physical Therapy Assistant | 15204 W Colonial Dr, Winter Garden, FL 34787-6042 | 2019-09-10 |
| 1659879229 | Anna Marie Johnson | Occupational Therapy Assistant | 15204 W Colonial Dr, Winter Garden, FL 34787-6042 | 2018-01-29 |
| 1992221154 | Jermaine Sheppard | Physical Therapy Assistant | 15204 W Colonial Dr, Winter Garden, FL 34787-6042 | 2017-08-19 |
| 1215453089 | Charlene Monique Dunn Morono | Physical Therapy Assistant | 15204 W Colonial Dr, Winter Garden, FL 34787-6042 | 2017-08-14 |
| 1205376092 | Pamela Tsai | Physical Therapy Assistant | 15204 W Colonial Dr, Winter Garden, FL 34787-6042 | 2017-02-28 |
| 1477098465 | Robinson Gray Alexander | Physical Therapy Assistant | 15204 W Colonial Dr, Winter Garden, FL 34787-6042 | 2016-12-29 |
| 1437524741 | Carolina Valenzuela- Childs | Occupational Therapy Assistant | 15204 W Colonial Dr, Winter Garden, FL 34787-6042 | 2015-12-11 |
| 1760898050 | Christopher Mullis | Occupational Therapy Assistant | 15204 W Colonial Dr, Winter Garden, FL 34787-6042 | 2014-07-07 |
| 1265843023 | Latricie Freeman | Skilled Nursing Facility | 15204 W Colonial Dr, Winter Garden, FL 34787-6042 | 2014-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608736 | Mid-florida Endodontics - Winter Garden Pa | Dentist | 15815 Shaddock Drive, Unit-3, Winter Garden, FL 34787 | 2020-10-30 |
| 1770196131 | Hamlin Eye Care, LLC | Optometrist | 15820 Shaddock Drive, Suite 150, Winter Garden, FL 34787 | 2020-08-26 |
| 1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
| 1235759416 | Callie Rebecca Alt | Student in an Organized Health Care Education/Training Program | 2200 Fowler Grove Blvd, Suite 220, Winter Garden, FL 34787 | 2020-04-17 |
| 1992345102 | Advn Dental Partners Pa | Dentist | 516 S. Dillard Street, Winter Garden, FL 34787 | 2020-01-15 |
| 1942851225 | Sara Walker | Physical Therapist | 213 S Dillard Street, Suite 320c, Winter Garden, FL 34787 | 2019-09-26 |
| 1801449996 | Tiffani Green | Behavior Technician | 678 W Bay St Apt 52, Winter Garden, FL 34787 | 2019-07-18 |
| 1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
| 1871078089 | Alton Graydon Cumberbatch Sr. | Pharmacist | 646 S. Dillard Street, Winter Garden, FL 34787 | 2018-10-03 |
| 1629551395 | Andrew Petersen | Physical Therapy Assistant | 5204 W. Colonial Drive, Winter Garden, FL 34787 | 2018-09-10 |
| Find all providers in zip 34787 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | 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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346853538 | Natalie Smith Amorim | Speech-Language Pathologist | 14550 Bahama Swallow Blvd, Winter Garden, FL 34787-6220 | 2020-08-26 |
| 1497368708 | Erin Travis | Speech-Language Pathologist | 417 Southern Pecan Cir Unit 205, Winter Garden, FL 34787-6360 | 2020-08-26 |
| 1659996171 | Megan Denise Jackson | Speech-Language Pathologist | 142 Deepcove Rd, Winter Garden, FL 34787-4389 | 2020-06-10 |
| 1285280669 | Transcend Therapy Inc. | Speech-Language Pathologist | 769 Cascading Creek Ln, Winter Garden, FL 34787-5911 | 2019-08-12 |
| 1336641620 | Denise Oliveira Conklin | Speech-Language Pathologist | 15151 Harrowgate Way, Winter Garden, FL 34787-4702 | 2018-03-02 |
| 1952829509 | Caitlyn Paige Crawford | Speech-Language Pathologist | 1297 Winter Garden Vineland Rd #110, Winter Garden, FL 34787 | 2017-09-05 |
| 1154848380 | Margaret Avery Mccarthy | Speech-Language Pathologist | 1297 Winter Garden Vineland Rd Ste 110, Winter Garden, FL 34787-6711 | 2017-08-28 |
| 1699213884 | Alyssa Amber Prinzi | Speech-Language Pathologist | 14012 Peach Orchard Way, Winter Garden, FL 34787-5616 | 2017-02-07 |
| 1891242467 | Ryan Evan Hoesten | Speech-Language Pathologist | 1335 Winter Garden Vineland Road, Suite 120, Winter Garden, FL 34787 | 2016-09-01 |
| 1912316035 | Transitions Therapy | Speech-Language Pathologist | 13103 Moro Ct, Winter Garden, FL 34787-5016 | 2014-08-04 |
| Find all providers in WINTER GARDEN | ||||
| City | WINTER GARDEN |
| Zip Code | 34787 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.