Doctor Name: | MATTI PEREZ-CUBAS |
NPI Number: | 1174902043 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CF-SLP |
License Number: | SZ7086 |
Business Practice Address: | 11602 Lake Underhill Rd Suite 129 Orlando, FL - 328254458 |
Business Phone Number: | 4073842767 |
Business Fax Number: | 3212814942 |
Mailing Address: | 11602 Lake Underhill Rd, Suite 129 ORLANDO |
State: | FL |
Postal Code: | 328254458 |
Phone Number: | 4073842767 |
Fax Number: | 3212814942 |
NPI Enumeration Date: | 05/26/2015 |
NPI Last Update Date: | 05/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SZ7086 |
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 |