Provider Demographics
NPI:1710299052
Name:PLETZER, CARA MICHELE (MA)
Entity Type:Individual
Prefix:MRS
First Name:CARA
Middle Name:MICHELE
Last Name:PLETZER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11214 CARABELEE CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-7194
Mailing Address - Country:US
Mailing Address - Phone:407-924-2358
Mailing Address - Fax:
Practice Address - Street 1:11214 CARABELEE CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-7194
Practice Address - Country:US
Practice Address - Phone:407-924-2358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-01
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ 5048235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist