Provider Demographics
NPI:1497260996
Name:SEACORD, JOANMARIE KINSEY (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JOANMARIE
Middle Name:KINSEY
Last Name:SEACORD
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 1:6849 SCYTHE AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-3821
Mailing Address - Country:US
Mailing Address - Phone:407-484-0880
Mailing Address - Fax:
Practice Address - Street 1:22 LAKE BEAUTY DR STE 304
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2040
Practice Address - Country:US
Practice Address - Phone:407-484-0880
Practice Address - Fax:407-484-0880
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-06
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist