Provider Demographics
NPI:1184059172
Name:PLATTS, ANSLEY EVA (SLP)
Entity type:Individual
Prefix:MISS
First Name:ANSLEY
Middle Name:EVA
Last Name:PLATTS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11670 TWIN CREEKS DR
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34945-2527
Mailing Address - Country:US
Mailing Address - Phone:772-216-5773
Mailing Address - Fax:
Practice Address - Street 1:11670 TWIN CREEKS DR
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34945-2527
Practice Address - Country:US
Practice Address - Phone:772-216-5773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-09
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ6358235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist