Provider Demographics
NPI:1528404423
Name:DELEPINE, ELSA
Entity Type:Individual
Prefix:MRS
First Name:ELSA
Middle Name:
Last Name:DELEPINE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 W STATE ROAD 434
Mailing Address - Street 2:SUITE 124
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-4986
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1200 W STATE ROAD 434
Practice Address - Street 2:SUITE 124
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-4986
Practice Address - Country:US
Practice Address - Phone:407-271-4911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-17
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ6180235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist