Provider Demographics
NPI:1770617326
Name:HAND, MONICA (MS, CCC/SLP)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:HAND
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 1:3948 LAKE MIRA DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-1646
Mailing Address - Country:US
Mailing Address - Phone:321-278-3109
Mailing Address - Fax:407-568-5521
Practice Address - Street 1:3948 LAKE MIRA DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-1646
Practice Address - Country:US
Practice Address - Phone:321-278-3109
Practice Address - Fax:407-568-5521
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA5441235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL891838400Medicaid