Doctor Name: | SAMARA GABRIEL GLYN |
NPI Number: | 1124278908 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SZ4858 |
Business Practice Address: | 8600 Sw 92nd St Suite 204 Miami, FL - 331567397 |
Business Phone Number: | 3053429886 |
Business Fax Number: | 3055969996 |
Mailing Address: | 8600 Sw 92nd St, Suite 204 MIAMI |
State: | FL |
Postal Code: | 331567397 |
Phone Number: | 3053429886 |
Fax Number: | |
NPI Enumeration Date: | 09/29/2008 |
NPI Last Update Date: | 03/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SZ4858 |
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 |