Individual
MIRIAM LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
5555 HOLLYWOOD BLVD STE 201, HOLLYWOOD, FL 33021-6420
(954) 603-1881
(954) 603-5341
Mailing address
5555 HOLLYWOOD BLVD STE 201, HOLLYWOOD, FL 33021-6420
(954) 603-1881
(954) 603-5341
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI3435
FL
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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