WYANETHA RENNER, CCC-SLP
Speech Language Pathology at Lake Beauty Dr, Orlando, FL

License number
Florida SA6648
Category
Speech Language Pathology
Type
Speech-Language Pathologist
Address
Address 2
22 Lake Beauty Dr STE. 304, Orlando, FL 32806
2182 Crandon Ave, Winter Park, FL 32789
Phone
(407) 872-3007
(407) 872-3014 (Fax)
National Provider ID: 1720067986
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about WYANETHA RENNER at bizstanding.com

WYANETHA RENNER, MA, CCC-SLP, PA

Orlando, FL  -  Winter Park, FL

Status:
Inactive
Inactive reason:
AMENDMENT
Registration:
Jan 6, 2005
Inactive since:
Dec 1, 2005
Addresses:
22 Lk Beauty Dr STE 304, Orlando, FL 32806 (Physical)
2182 Crandon Ave, Winter Park, FL 32789 (Mailing)
State ID:
P05000003770
Business type:
Florida Profit Corporation
Vice Presidents:
Wyanetha Renner (President, Treasurer, Secretary, Director), 22 Lk Beauty Dr STE 304, Orlando, FL 32806 (Physical),Joshua Jones (Vice President), 2182 Crandon Ave, Winter Park, FL 32789 (Physical)
EIN:
134292028

Professional information

Wyanetha Renner Photo 1

Speech Language Pathologist At Self Employed
Position:
Speech Language Pathologist at self employed (Self-employed), Independent business owner at ACN Telecommunications
Location:
Orlando, Florida Area
Industry:
Hospital & Health Care
Work:
self employed - Speech Language Pathologist ACN Telecommunications - Orlando, Fl since Aug 2011 - Independent business owner

Wyanetha Renner Photo 2

Wyanetha Renner, Orlando FL
Specialties:
Speech-Language Pathology
Address:
22 Lake Beauty Dr STE 304, Orlando 32806
(407) 872-3007 (Phone), (407) 872-3014 (Fax)
Languages:
English

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