Doctor Name: | DR. NANCY MAHECHA |
NPI Number: | 1780768283 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D, CCC-SLP |
License Number: | SA 78 |
Business Practice Address: | 20704 W Dixie Hwy Aventura, FL - 331801146 |
Business Phone Number: | 3059335887 |
Business Fax Number: | 3059338991 |
Mailing Address: | 11933 Sw 12th Ct, DAVIE |
State: | FL |
Postal Code: | 333253802 |
Phone Number: | 3059335887 |
Fax Number: | 3059338991 |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 78 |
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 |