Doctor Name: | MARTINICA BARRIONUEVO |
NPI Number: | 1124264585 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SZ 4668 |
Business Practice Address: | 5979 Nw 151 Street Suite 108 Miami Lakes, FL - 33014 |
Business Phone Number: | 3053623300 |
Business Fax Number: | 3053620202 |
Mailing Address: | 5979 Nw 151 Street, Suite 108 MIAMI LAKES |
State: | FL |
Postal Code: | 33014 |
Phone Number: | 3053623300 |
Fax Number: | 3053620202 |
NPI Enumeration Date: | 01/06/2009 |
NPI Last Update Date: | 12/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SZ 4668 |
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 |