Individual
BETH A TRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
9290 HAMMOCKS BLVD, MIAMI, FL 33196-1508
(786) 558-5694
(786) 913-7034
Mailing address
15036 SW 104TH ST APT 2104, MIAMI, FL 33196-3297
(954) 338-8140
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA7354
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889515500
—
FL
Enumeration date
04/30/2008
Last updated
04/10/2019
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