Doctor Name: | MS. EDITH LISBETH JACIR |
NPI Number: | 1669514246 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SA5276 |
Business Practice Address: | 4474 Weston Rd Mb#214 Davie, FL - 333313195 |
Business Phone Number: | 9546442645 |
Business Fax Number: | 9543859505 |
Mailing Address: | 1046 Waterside Cir, WESTON |
State: | FL |
Postal Code: | 333272022 |
Phone Number: | 9546442645 |
Fax Number: | 9543859505 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA5276 |
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 |