Doctor Name: | MIRKA FREIRE |
NPI Number: | 1972639672 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SA8455 |
Business Practice Address: | 18191 Nw 68th Ave Suite 216 Hialeah, FL - 330153996 |
Business Phone Number: | 3055584646 |
Business Fax Number: | 3055584649 |
Mailing Address: | 9400 Sw 31st Ter, MIAMI |
State: | FL |
Postal Code: | 331653117 |
Phone Number: | 7865864856 |
Fax Number: | 3055584649 |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 08/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA8455 |
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 |