Individual
MRS. CHANTELLY ALEXANDRA AMADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
15819 NW 91ST CT, MIAMI LAKES, FL 33018-6361
(305) 910-7029
Mailing address
15819 NW 91ST CT, MIAMI LAKES, FL 33018-6361
(305) 910-7029
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SI3491
FL
235Z00000X
Speech-Language Pathologist
Primary
SZ9335
FL
Other
Enumeration date
02/06/2018
Last updated
01/09/2020
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