Provider Demographics
NPI:1699923771
Name:DEMAS, HELEN (MA CCC/SLP)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:DEMAS
Suffix:
Gender:F
Credentials:MA CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3449 ALLSTON LN
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-1771
Mailing Address - Country:US
Mailing Address - Phone:407-678-4984
Mailing Address - Fax:
Practice Address - Street 1:3449 ALLSTON LN
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-1771
Practice Address - Country:US
Practice Address - Phone:407-678-4984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA5421235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist