Individual
ALEIDA M. RIVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
12740 LANIER RD, JACKSONVILLE, FL 32226-1704
(904) 757-0600
(888) 421-1025
Mailing address
2750 COACHMAN LAKES DR, JACKSONVILLE, FL 32246-1858
(904) 534-3503
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
COND 2007081 SP
OH
235Z00000X
Speech-Language Pathologist
Primary
SA12875
FL
235Z00000X
Speech-Language Pathologist
SP.8944
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12100681
ASHA CERTIFICATE OF CLINICAL COMPETENCE
—
01
—
SA12875
FLORIDA SPEECH-LANGUAGE PATHOLOGY LICENSE
FL
01
—
SP.8944
OHIO SPEECH-LANGUAGE PATHOLOGY LICENSE
OH
Enumeration date
05/11/2007
Last updated
08/06/2025
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