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Individual

GABRIELA PEDRIDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CF-SLP

Contact information

Practice address
3663 S MIAMI AVE, MIAMI, FL 33133-4253
(305) 854-4400
Mailing address
5565 W 12TH LN, HIALEAH, FL 33012-2262
(305) 762-2624

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
2355S0801X
Speech-Language Assistant
SI4260
FL
235Z00000X
Speech-Language Pathologist
Primary
SZ10945
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102943200
FL
Enumeration date
05/17/2019
Last updated
10/06/2022
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