Individual
ELEANOR SEQUEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
92 NW 93RD ST, MIAMI SHORES, FL 33150-2233
(832) 566-3033
Mailing address
92 NW 93RD ST, MIAMI SHORES, FL 33150-2233
(832) 566-3033
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
12353
FL
235Z00000X
Speech-Language Pathologist
Primary
12353
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009865700
—
FL
Enumeration date
06/24/2008
Last updated
10/24/2016
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