Provider Demographics
NPI:1396535548
Name:ANDRE, ELANDA R
Entity type:Individual
Prefix:
First Name:ELANDA
Middle Name:R
Last Name:ANDRE
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 1:681 ADDISON LONGWOOD TER APT 207
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-5610
Mailing Address - Country:US
Mailing Address - Phone:407-300-9250
Mailing Address - Fax:
Practice Address - Street 1:681 ADDISON LONGWOOD TER APT 207
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-5610
Practice Address - Country:US
Practice Address - Phone:407-300-9250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-10
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist