Doctor Name: | AMBER JILL PRENTICE |
NPI Number: | 1730553702 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SZ7417 |
Business Practice Address: | 5920 Sw 68th St South Miami, FL - 331433524 |
Business Phone Number: | 3056650886 |
Business Fax Number: | |
Mailing Address: | 13325 Sw 112th Ave, MIAMI |
State: | FL |
Postal Code: | 331764456 |
Phone Number: | 3057751493 |
Fax Number: | |
NPI Enumeration Date: | 11/13/2015 |
NPI Last Update Date: | 11/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SZ7417 |
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 |