Doctor Name: | MARIAM BAEZ |
NPI Number: | 1003283128 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CFY |
License Number: | SZ7208 |
Business Practice Address: | 886 S Dillard St Winter Garden, FL - 347873910 |
Business Phone Number: | 4079058908 |
Business Fax Number: | 4079058958 |
Mailing Address: | 5036 Dr Phillips Blvd, # 364 ORLANDO |
State: | FL |
Postal Code: | 328193310 |
Phone Number: | 4079058908 |
Fax Number: | 4079058958 |
NPI Enumeration Date: | 08/24/2015 |
NPI Last Update Date: | 08/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SZ7208 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |