Provider Demographics
NPI:1205817798
Name:HULTS, CLAUDIA L (MS CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:L
Last Name:HULTS
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 OAK TREE CT
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32724-4832
Mailing Address - Country:US
Mailing Address - Phone:386-736-9856
Mailing Address - Fax:386-736-9856
Practice Address - Street 1:510 OAK TREE CT
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32724-4832
Practice Address - Country:US
Practice Address - Phone:386-748-0920
Practice Address - Fax:386-736-9856
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA797235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist