Provider Demographics
NPI:1699124909
Name:PAUL, NATALIE
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:PAUL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:SLATTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:32701 LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:TAVARES
Mailing Address - State:FL
Mailing Address - Zip Code:32778-5024
Mailing Address - Country:US
Mailing Address - Phone:352-508-7789
Mailing Address - Fax:352-855-0459
Practice Address - Street 1:32701 LAKESHORE DR
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-5024
Practice Address - Country:US
Practice Address - Phone:352-508-7789
Practice Address - Fax:352-855-0459
Is Sole Proprietor?:No
Enumeration Date:2016-06-07
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA15558235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist