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Organization
CREA SPEECH AND LANGUAGE THERAPY, LLC
Active
Organization
CREA SPEECH AND LANGUAGE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINICA BARRIONUEVO (SPEECH AND LANGUAGE PATHOLOGIST)
(786) 344-8175
Entity
Organization
Contact information
Practice address
2368 SW 26TH ST, MIAMI, FL 33133-2306
(786) 344-8175
(305) 857-9788
Mailing address
2368 SW 26TH ST, MIAMI, FL 33133-2306
(786) 344-8175
(305) 857-9788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 10156
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000631000
—
FL
Enumeration date
04/13/2012
Last updated
04/13/2012
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