| Doctor Name: | LYNDA HEREDIA |
| NPI Number: | 1376608018 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | SA 3155 |
| Business Practice Address: | 401 Miracle Mile Suite 403 Coral Gables, FL - 331344930 |
| Business Phone Number: | 3054461098 |
| Business Fax Number: | 3054461638 |
| Mailing Address: | 401 Miracle Mile, Suite 403 CORAL GABLES |
| State: | FL |
| Postal Code: | 331344930 |
| Phone Number: | 3054461098 |
| Fax Number: | 3054461638 |
| NPI Enumeration Date: | 12/22/2006 |
| NPI Last Update Date: | 02/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA 3155 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |