Individual
IVELISSE HERNANDEZ-OBESO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
7100 SW 99TH AVE, SUITE 201, MIAMI, FL 33173-4667
(305) 491-1032
Mailing address
15532 SW 142ND CT, MIAMI, FL 33177-1044
(305) 238-9967
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA9639
FL
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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