Doctor Name: | MRS. JENNY ARELY MONTAGNER |
NPI Number: | 1619077963 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SA7164 |
Business Practice Address: | 6595 Nw 36th St Ste 305-2 Virginia Gardens, FL - 331666967 |
Business Phone Number: | 3058741300 |
Business Fax Number: | 8774427773 |
Mailing Address: | 1100 Sw 100th Ct, MIAMI |
State: | FL |
Postal Code: | 331742855 |
Phone Number: | 3054911032 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA7164 |
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 |