Provider Demographics
NPI:1699392209
Name:SEARCY, PAIGE E (MS, SLP CCC)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:E
Last Name:SEARCY
Suffix:
Gender:F
Credentials:MS, SLP CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 GREENRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-5251
Mailing Address - Country:US
Mailing Address - Phone:904-860-8171
Mailing Address - Fax:
Practice Address - Street 1:907 GREENRIDGE RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-5251
Practice Address - Country:US
Practice Address - Phone:904-860-8171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-30
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA17578235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist