Individual
BONNY BLUMENTHAL SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
8309 SW 107TH AVE APT A, MIAMI, FL 33173-3819
(305) 274-0549
Mailing address
8309 SW 107TH AVE APT A, MIAMI, FL 33173-3819
(305) 274-0549
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6019
FL
Other
Enumeration date
08/31/2006
Last updated
07/09/2007
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