Individual
MRS. EKATERINA ANANIEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., SLP-CCC
Contact information
Practice address
790 BOWMAN CT, WESTON, FL 33326-2915
(954) 562-9500
Mailing address
790 BOWMAN CT, WESTON, FL 33326-2915
(954) 562-9500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19338
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19338
DOH
FL
Enumeration date
01/25/2022
Last updated
01/25/2022
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