Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Easterseals Northeast Central Florida

Organization Speech-Language Pathologist · NPI 1417092461

Easterseals Northeast Central Florida is a Speech-Language Pathologist in Daytona Beach, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007

Practice location Address checks out

1219 Dunn Ave
Daytona Beach, FL 32114
Phone: (386) 255-4568
Fax: (386) 252-3403
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X (FL)

Record details

NPI number1417092461
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beverly Johnson — Chief Executive Officer · (386) 255-4568
NPI enumeratedFebruary 20, 2007
Last updated in NPPESMay 29, 2018
Mailing address1219 Dunn Ave, Daytona Beach, FL 32114-2405

Other providers in Daytona Beach