Individual
JENNIFER D RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
18115 N US HIGHWAY 41 STE 800, LUTZ, FL 33549-6475
(813) 848-0341
Mailing address
1200 N CENTRAL AVE STE 110, KISSIMMEE, FL 34741-4439
(407) 530-5063
(877) 399-5578
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
FL
2355S0801X
Speech-Language Assistant
SI5463
FL
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
08/19/2022
Last updated
09/09/2024
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