Provider Demographics
NPI:1922132844
Name:MONOSKI, KORENA (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KORENA
Middle Name:
Last Name:MONOSKI
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 1:2869 E CROOKED LAKE DR
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32726-2004
Mailing Address - Country:US
Mailing Address - Phone:352-735-3077
Mailing Address - Fax:
Practice Address - Street 1:2869 E CROOKED LAKE DR
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32726-2004
Practice Address - Country:US
Practice Address - Phone:352-735-3077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 3113235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist