Doctor Name: | MISS VANESSA MARIA DIAZ |
NPI Number: | 1992123996 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | SA 12166 |
Business Practice Address: | 3601 Nw 107th Ave Doral, FL - 331784377 |
Business Phone Number: | 7866245220 |
Business Fax Number: | |
Mailing Address: | 7920 Sw 18th Ter, MIAMI |
State: | FL |
Postal Code: | 331551341 |
Phone Number: | 3052985980 |
Fax Number: | |
NPI Enumeration Date: | 04/07/2014 |
NPI Last Update Date: | 04/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 12166 |
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 |