Individual
AVIELLA SHALOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
7451 WILES RD STE 203, CORAL SPRINGS, FL 33067-2040
(954) 227-8255
Mailing address
8912 NW 40TH ST, CORAL SPRINGS, FL 33065-2962
(205) 276-3654
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14395030
FL
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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