Organization
CREA SPEECH AND LANGUAGE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINICA BARRIONUEVO (SPEECH AND LANGUAGE PATHOLOGIST)
(786) 344-8175
Entity
Organization
Contact information
Practice address
2368 SW 26TH ST, MIAMI, FL 33133-2306
(786) 344-8175
(305) 857-9788
Mailing address
2368 SW 26TH ST, MIAMI, FL 33133-2306
(786) 344-8175
(305) 857-9788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 10156
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000631000
—
FL
Enumeration date
04/13/2012
Last updated
04/13/2012
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