| Doctor Name: | MAYTEBEL SARRIA-FOURNIER |
| NPI Number: | 1104243997 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLPA |
| License Number: | SI 2159 |
| Business Practice Address: | 18300 Nw 62nd Ave Suite 210 Miami Gardens, FL - 330158200 |
| Business Phone Number: | 3054744960 |
| Business Fax Number: | |
| Mailing Address: | 5860 W 18th Ln, Apt 101 HIALEAH |
| State: | FL |
| Postal Code: | 330128922 |
| Phone Number: | 7862628858 |
| Fax Number: | |
| NPI Enumeration Date: | 03/18/2014 |
| NPI Last Update Date: | 03/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SI 2159 |
| 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 |