Individual
BARBARA DE JESUS-RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
405 S SEMINOLE AVE, MINNEOLA, FL 34715-5520
(352) 394-0212
(352) 241-6361
Mailing address
405 S SEMINOLE AVE, MINNEOLA, FL 34715-5520
(352) 394-0212
(352) 241-6361
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 8694
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889971100
—
FL
Enumeration date
10/18/2006
Last updated
07/09/2007
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