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

Magnolia Pediatric Therapy

Organization Speech-Language Pathologist · NPI 1952533002

Magnolia Pediatric Therapy is a Speech-Language Pathologist in Panama City, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009

Practice location Address checks out

340 W 23rd St Ste H
Panama City, FL 32405-7600
Phone: (850) 215-3911
Fax: (850) 215-3914
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA2869 (FL)

Record details

NPI number1952533002
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Gault — Owner · (678) 571-0033
NPI enumeratedAugust 21, 2009
Last updated in NPPESAugust 21, 2009
Mailing address340 W 23rd St, Suite H, Panama City, FL 32405-7600

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