Provider Demographics
NPI:1487467312
Name:SZLASA, ANN W
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:W
Last Name:SZLASA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:S
Other - Last Name:DEMONTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:174 WATERCOLOR WAY STE 103
Mailing Address - Street 2:BOX 140
Mailing Address - City:SANTA ROSA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32459
Mailing Address - Country:US
Mailing Address - Phone:484-686-3091
Mailing Address - Fax:
Practice Address - Street 1:174 WATERCOLOR WAY STE 103
Practice Address - Street 2:BOX 140
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459
Practice Address - Country:US
Practice Address - Phone:484-686-3091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist