MRS. DEANA SUSAN WAMBOLDT (NPI# 1912128216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912128216 |
| Entity Type | Individual |
| Full Name | MRS. DEANA SUSAN WAMBOLDT |
| Credential | M.S., CCC-SLP |
| Practice Address |
2310 S.w. 34th Ave. Fort Lauderdale FL 33312 |
| Practice Telephone | 9542578567 |
| Mailing Telephone | 9542578567 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA 5673 | FL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | ASHA LICENSE # | 12049301 | 01 |
| STATE OF FLORIDA LICENSE | SA 5673 | 01 |
| Street Address |
2310 S.W. 34TH AVE. |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112965 | Krista Moreno | Marriage & Family Therapist | 2699 Stirling Road Building C Suite 403e, Fort Lauderdale, FL 33312 | 2020-01-03 |
| 1700428026 | Caring Village of Lauderdale LLC | Assisted Living Facility | 408-412 Sw 7th Ave, Fort Lauderdale, FL 33312 | 2019-10-09 |
| 1548742356 | Inspire Acupuncture | Acupuncturist | 1000 Riverside Drive, Fort Lauderdale, FL 33312 | 2018-08-29 |
| 1447762919 | Daniel Desta Bekele | General Practice | 1001 W Las Olas Blvd Apt 4, Fort Lauderdale, FL 33312 | 2017-10-24 |
| 1649798653 | Angel Luis Perez | Nurse Practitioner | 3041 Sw 47 Street, Fort Lauderdale, FL 33312 | 2017-08-30 |
| 1902322738 | Ashley Ingrid Rini | Dentist | 1620 Sw 33rd Ave, Fort Lauderdale, FL 33312 | 2017-08-14 |
| 1548794993 | Elise Cruz | Nurse Practitioner | 3301 Sw 16th Street, Fort Lauderdale, FL 33312 | 2017-04-12 |
| 1619415924 | Antoinette Battle | Nurse Practitioner | 3470 Sw 19th Street, Fort Lauderdale, FL 33312 | 2017-02-07 |
| 1902344252 | Melissa Miller | Counselor | 2962 Southwest 26th Terrace, 204, Fort Lauderale, FL 33312 | 2017-02-07 |
| 1164975934 | Brandon Nieves Stella | Technician, Other | 620 Sw 14th Ter, Fort Lauderdale, FL 33312 | 2016-07-28 |
| Find all providers in zip 33312 | ||||
| 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 |
|---|---|---|---|---|
| 1609475094 | Erika Michele Moorman | Speech-Language Pathologist | 1031 Seminole Dr, Fort Lauderdale, FL 33304-3243 | 2020-10-18 |
| 1720607195 | Chrisitna Amoret Mucciolo | Speech-Language Pathologist | 1112 Ne 16th Ave, Fort Lauderdale, FL 33304-2317 | 2020-04-15 |
| 1083240428 | Kelly R Vogel | Speech-Language Pathologist | 2130 Sw 14th Ter, Fort Lauderdale, FL 33315-2334 | 2020-03-17 |
| 1457997769 | Joseph John Devlin IIi | Speech-Language Pathologist | 5975 N Federal Hwy Ste 244, Fort Lauderdale, FL 33308-2652 | 2019-11-21 |
| 1760048730 | Danielle Jacqueline Shore Giarratano | Speech-Language Pathologist | 1522 Sw 10th Ave, Fort Lauderdale, FL 33315-1621 | 2019-05-15 |
| 1982167094 | Alexandra Kaplan | Speech-Language Pathologist | 475 N Federal Hwy Apt 2401, Fort Lauderdale, FL 33301-2187 | 2019-04-08 |
| 1518474337 | Jessica Perrin | Speech-Language Pathologist | 520 Se 5th Ave Apt 3404, Fort Lauderdale, FL 33301-2960 | 2018-01-02 |
| 1871010371 | Lorrie Remy | Speech-Language Pathologist | 2655 E Oakland Park Blvd Ste 5, Fort Lauderdale, FL 33306-1608 | 2017-08-25 |
| 1093263956 | Lindsay Elizabeth Halas | Speech-Language Pathologist | 533 Ne 3rd Ave Apt 337, Fort Lauderdale, FL 33301 | 2016-09-20 |
| 1568811214 | Ellene Agnes Amodie | Speech-Language Pathologist | 2635 Yacht Club Blvd, Fort Lauderdale, FL 33304-4529 | 2016-06-03 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33312 |
Please comment or provide details below to improve the information on MRS. DEANA SUSAN WAMBOLDT.
| 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.